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

Peacehealth

Organization Surgery Physician · NPI 1235556846

Peacehealth is a Surgery Physician in Ketchikan, Alaska. Licensed in Alaska. Registered with an NPI since 2014.

Licensed in
AK
In the registry since
2014

Practice location Address checks out

212 Carlanna Lake Rd #204
Ketchikan, AK 99901-5642
Phone: (907) 225-7346
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5790 (AK)

Record details

NPI number1235556846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori McCoy — Provider Enrollment Specialist · (360) 729-1411
NPI enumeratedMarch 20, 2014
Last updated in NPPESMarch 20, 2014
Mailing address1115 Se 164th Ave, Dept 358, Vancouver, WA 98683-9324

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