Organization
PRIDE & JOY GENDER AFFIRMING CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTI HERZOG ARNP (ARNP/OWNER)
(253) 881-7743
Entity
Organization
Contact information
Practice address
1326 22ND AVE SE, OLYMPIA, WA 98501-3014
(253) 881-7743
(253) 881-7158
Mailing address
2103 HARRISON AVE NW STE 2, OLYMPIA, WA 98502-2607
(253) 881-7743
(253) 881-7158
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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