DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SCOT BACON ATHAIR, LPM

Active Sole Proprietor

Specialist · PORT ANGELES, WA

Registration Details

NPI Number
1710160544
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2007 (18.376548849974 yrs)
Last Updated
Dec 15, 2007
License
MA00004385 (WA)
Sole Proprietor
Yes

Practice Information

Address
1111 E FRONT ST
PORT ANGELES, WA, 983624307
Browse WA providers · Browse ZIP 98362
Phone
3604523017
Primary Specialty
Specialist
174400000X

Other Specialist Providers in PORT ANGELES, WA

Name Credential NPI
KEITH J URE MD 1548261225
MADELINE M HARRINGTON MD 1497707848
JOHN D WEGMANN M.D. 1720030224
DR. RANDELL EDWARD BAUMAN MD 1629004213
ROBERT L SCOTT MD 1891887857
DR. LYNN D KEENAN PHD., LMP 1528111630
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.