Individual
HEIDI J TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8103 FALLS AVE SE, SNOQUALMIE, WA 98065-5169
(425) 208-5048
Mailing address
PO BOX 34, NORTH BEND, WA 98045-0034
(425) 208-5048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019283
WA
Other
Enumeration date
04/23/2007
Last updated
01/21/2021
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