Individual
MRS. CAROL SUE KIRCHER-SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR CHT
Contact information
Practice address
945 11TH AVE, SUITE A, LONGVIEW, WA 98632-2555
(360) 577-1192
(360) 577-0519
Mailing address
1953 PALISADES TERRACE DR, LAKE OSWEGO, OR 97034-4627
(503) 697-8654
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT00000149
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06769
L&I
WA
05
—
7681018
—
WA
01
—
K14454
REGENCE
WA
Enumeration date
09/01/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us