Keystone Tides, Pllc

Specialty details in registry · Port Angeles, WA

Call (425) 400-8602 Directions

At a glance

115 E Railroad Ave Ste 203, Port Angeles, WA 98362-2925

NPPES record updated Mar 31, 2025. Public records can lag behind changes at a practice.

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Practice location

115 E Railroad Ave Ste 203
Port Angeles, WA 98362-2925

Professional details: NPI, taxonomy & registry record

NPI1306649884

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 363LP0808X
Enumeration date: Mar 31, 2025
Record updated: Mar 31, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QD1600X

Specialty details in registry

261QM0850X

Specialty details in registry

261QM0855X

Specialty details in registry

363LP0808X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

115 E Railroad Ave Ste 203
Port Angeles, WA 98362-2925

Phone: (425) 400-8602
Fax: (425) 433-9177

Mailing address

132 DEER PARK RD # 21

PORT ANGELES, WA 983627185

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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