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JEFFERSON HEALTHCARE WALK IN CLINIC
NPI 1194032201
Physician Assistant - Medical in Port Townsend, WA

Active since September 10, 2010CLIA Certified · 3 labs
1274 7TH ST STE A, PORT TOWNSEND, WA 98368(360) 379-0477 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jefferson Healthcare Walk In Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON HEALTHCARE WALK IN CLINIC (NPI 1194032201) is a healthcare organization registered as a medical in Port Townsend, Washington and active in the NPI registry since September 2010. The organization holds 3 active CLIA laboratory certificates and lists Kathy Lee Porter, Registration Coordinator, as its authorized official.

NPPES Registry Identity

NPI1194032201
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameJEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Location Address1274 7TH ST STE APort Townsend, WA 98368-2404
Mailing Address834 Sheridan StPort Townsend, WA 98368-2443 · (360) 385-2200 · Fax (360) 379-2282
Phone(360) 379-0477
Organization SubpartYes
Authorized OfficialKathy Lee PorterRegistration Coordinator · (360) 385-2200
Enumeration DateSeptember 10, 2010
Last NPPES UpdateDecember 9, 2010
✔ NPI 1194032201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · HAC.FS.00000085
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License HAC.FS.00000085 (WA)
1274 7TH ST STE A, Port Townsend, WA 98368
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Other Names 1

Doing Business AsJefferson Healthcare Walk In Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D2133746

Jefferson Healthcare Dermatology Clinic · Port Townsend, WA
Active · expires Apr 4, 2028
CLIA Number50D2133746
Laboratory TypeClinic
Certificate Effective DateJuly 19, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBijan Dowlati
Laboratory Phone(360) 385-2200
Laboratory LocationJefferson Healthcare Dermatology Clinic834 Sheridan St Fl 2, Port Townsend, WA 98368
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0635336

Jefferson Healthcare Urology Clinic · Port Townsend, WA
Active · expires Apr 4, 2028
CLIA Number50D0635336
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 30, 2007
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDimitri D. Kuznetsov
Laboratory Phone(360) 385-2905
Laboratory LocationJefferson Healthcare Urology Clinic1274 7th St, Port Townsend, WA 98368
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 50D2143971

Jefferson Healthcare Express Clinic · Port Townsend, WA
Active · expires Apr 4, 2028
CLIA Number50D2143971
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 8, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorReina Parker
Laboratory Phone(360) 385-2204
Laboratory LocationJefferson Healthcare Express Clinic1274 7th St Ste A, Port Townsend, WA 98368
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Clinic/Center (Rural Health)
1274 7TH ST STE A
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2204
MACIE ANN BOOKER APRN
Nurse Practitioner (Family)
1274 7TH ST STE A
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2204
PORT TOWNSEND ORTHOPAEDICS & SPORTS MEDICINE, PLLC
Specialist
1274 7TH ST STE A
PORT TOWNSEND, WA 98368
Jefferson County (360) 981-3812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson County Public Hospital District No 2's NPI number?

The NPI number for Jefferson County Public Hospital District No 2 is 1194032201. It was assigned to this organization in the NPPES registry on September 10, 2010. The provider is doing business as Jefferson Healthcare Walk In Clinic.

Where is Jefferson County Public Hospital District No 2 located?

Jefferson County Public Hospital District No 2 is located at 1274 7th St Ste A, Port Townsend, WA 98368. The listed phone number is (360) 379-0477.

What is Jefferson County Public Hospital District No 2's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Jefferson County Public Hospital District No 2 hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Jefferson County Public Hospital District No 2 was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.