Individual
CARISSA A DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 933-8777
Mailing address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 933-8777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP60932540
WA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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