Individual
MS. MIDGE MILLER PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Mailing address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 426-6731
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10002024
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297209
L&I
WA
01
—
0300061
STATE L&I
WA
01
—
0300963
STATE L&I
WA
05
—
1037417
—
WA
01
—
G8911965
MEDICARE
WA
Enumeration date
08/08/2006
Last updated
08/28/2024
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