Individual
DORA SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
1340 12TH AVE, LONGVIEW, WA 98632-3820
(360) 200-5419
(844) 612-6673
Mailing address
PO BOX 2394, LONGVIEW, WA 98632-8455
(360) 200-5419
(844) 612-6673
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG70068192
WA
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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