SCOT BACON ATHAIR LPM
NPI 1710160544
Specialist in Port Angeles, WA

Active since December 15, 2007
1111 E FRONT ST, PORT ANGELES, WA 98362(360) 452-3017 Get Directions Write a Review

NPPES record last updated: December 15, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Scot Bacon Athair Lpm NPPES

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

SCOT BACON ATHAIR LPM (NPI 1710160544) is an individual specialist in Port Angeles, Washington, licensed in Washington (MA00004385) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1710160544
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSCOT BACON ATHAIRCredential: LPM
Location Address1111 E FRONT STPort Angeles, WA 98362-4307
Mailing Address1111 E Front StPort Angeles, WA 98362-4307 · (360) 452-3017
Sole ProprietorYes
Enumeration DateDecember 15, 2007
NPI 1710160544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MA00004385
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1111 E FRONT ST, Port Angeles, WA 98362

Other Providers at the Same Location NPPES 4

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

Chiropractor
1111 E FRONT ST
PORT ANGELES, WA 98362
Massage Therapist
1111 E FRONT ST
PORT ANGELES, WA 98362
Massage Therapist
1111 E FRONT ST
PORT ANGELES, WA 98362
Massage Therapist
1111 E FRONT ST
PORT ANGELES, WA 98362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710160544, enumerated as an "individual" on December 15, 2007.

The provider is located at 1111 E FRONT ST PORT ANGELES, WA 98362 and the phone number is (360) 452-3017.

Specialist with taxonomy code 174400000X.