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Individual
MS. KATIE ELLEN WINANS
Active
Individual
MS. KATIE ELLEN WINANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01113
OR
363A00000X
Physician Assistant
Primary
PA60217469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070416
NCCPA NATIONAL
—
01
—
PA01113
OREGON MED BOARD
OR
01
—
PA60217469
LICENSE
WA
Enumeration date
09/29/2006
Last updated
03/07/2023
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