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Brent A Cupp

  • Male

Medical Specialty

Professional ID

  • NPI: 1265615843
  • PECOS ID: 8628225729
  • Enrollment ID: I20120824000260
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2003

Medical Practices

  • Organization Name: Jefferson Community Counseling Center
  • Group Practice ID assigned by PECOS: 6103715081
  • Number of Group Practice member: 8

Location

  • Address1: 884 W Park Ave Box
  • Address2: 565 Jefferson Mental Health Services
  • City: Port Townsend
  • State: Washington
  • Zip Code: 98368
  • Phone Number: (360)385-0321

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):