Individual
DADIKI SHERPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
(360) 604-1743
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014388
NY
363A00000X
Physician Assistant
Primary
PA60583196
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047681
—
WA
Enumeration date
11/30/2010
Last updated
12/30/2020
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