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Individual

JUDITH A HARGIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3911 CASTLEVALE RD, SUITE 301, YAKIMA, WA 98902-7807
(509) 453-8231
(509) 453-0130
Mailing address
PO BOX 4949, PORTLAND, OR 97208-4949
(503) 215-6446
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
PA10001229
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8436271
WA
Enumeration date
06/21/2006
Last updated
10/04/2007
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