NPI 1013422757

Idalis Rae Calvert

Practitioner Public Health & General Preventive Medicine Physician Port Angeles, WA

Practice location

Address: 243511 W Highway 101, Port Angeles, WA 98363-9472
Phone: (360) 565-7264
Fax: (360) 452-6274

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence CG60769343 (WA)

Other Preventive Medicine providers in Washington →

Registry record

NPI: 1013422757
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2017
Record last updated: 4 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.