Individual
MRS. JULIE ANN ISRAELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336
(590) 460-5588
(509) 783-5438
Mailing address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA60959443
WA
363A00000X
Physician Assistant
Primary
PA60959443
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2132919
—
WA
Enumeration date
09/10/2009
Last updated
07/16/2019
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