Individual
DONNA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 S GARDEN AVE, NEWPORT, WA 99156-9001
(509) 447-5651
Mailing address
PO BOX 5055, NEWPORT, WA 99156-5055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60933995
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60933995
—
WA
Enumeration date
02/22/2019
Last updated
02/22/2019
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