Individual
MRS. TRUDY MARTINE DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 747-5800
(360) 575-3846
Mailing address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60422841
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033083
—
WA
05
—
500666190
—
OR
Enumeration date
02/21/2012
Last updated
02/11/2014
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