Individual
KEITH ALLEN HAUGEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 W FAIRVIEW ST, COLFAX, WA 99111-9552
(509) 397-4717
Mailing address
1210 W FAIRVIEW ST, COLFAX, WA 99111-9552
(509) 397-4717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042430
WA
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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