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Organization
EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA
Active
Organization
EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY A BECKER DO (PRESIDENT)
(360) 825-4466
Entity
Organization
Contact information
Practice address
1427 JEFFERSON AVE, ENUMCLAW, WA 98022-3613
(360) 825-4466
(360) 825-2064
Mailing address
1427 JEFFERSON AVE STE 101, ENUMCLAW, WA 98022-3649
(360) 825-4466
(360) 825-2064
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
OP00001317
WA
Other
Enumeration date
10/28/2008
Last updated
01/08/2019
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