Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

L a Professional Service Corp

Organization Family Medicine Physician · NPI 1760551410

L a Professional Service Corp is a Family Medicine Physician in Bremerton, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

804 Callahan Dr # A
Bremerton, WA 98310-3307
Phone: (360) 377-9744
Fax: (360) 377-2341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 002495 (WA)

Record details

NPI number1760551410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terrilynn Nicklin Griswold — Billing Manager · (360) 434-3009
NPI enumeratedNovember 7, 2006
Last updated in NPPESAugust 22, 2020
Mailing address804 Callahan Dr # A, Bremerton, WA 98310-3307

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