Individual
GWEN PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 E 4TH ST, PORT ANGELES, WA 98362-3000
(360) 417-2000
Mailing address
223 E 4TH ST, PORT ANGELES, WA 98362-3000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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