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 provides Family Medicine Physician services 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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