IndividualActive
Jeffrey Sutherland
NPI 1013750371 · Prosthetic/Orthotic Supplier · Port Angeles, WA
Provider details
- NPI number
- 1013750371
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Male
- Sole proprietor
- Yes
- License
- A44625827 (WA)
Specialties & taxonomies
Suppliers
Practice location
919 Key Rd
Port Angeles, WA 98362-8925
Phone: (530) 919-3751
Approximate (ZIP-level) locationGet directions
Mailing address
919 Key Rd
Port Angeles, WA 98362-8925
Registry dates
- Enumerated
- 2024-06-14
- Last updated
- 2024-06-14
- Certified
- 2024-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.