Provider Demographics
NPI:1144261298
Name:ROTCHFORD, JAMES KIMBER (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KIMBER
Last Name:ROTCHFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 E SIMS WAY # 282
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-6905
Mailing Address - Country:US
Mailing Address - Phone:360-531-0963
Mailing Address - Fax:360-379-1441
Practice Address - Street 1:800 W PARK AVE STE 4
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-2283
Practice Address - Country:US
Practice Address - Phone:360-531-0963
Practice Address - Fax:360-379-1441
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00019338174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAE21712Medicare UPIN