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Individual

CARRIE V WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
4403 W COURT ST, SUITE B, PASCO, WA 99301-2879
(509) 545-6620
(509) 545-6842
Mailing address
4403 W COURT ST, SUITE B, PASCO, WA 99301-2879
(509) 545-6620
(509) 545-6842

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004031
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8321861
WA
01
AB06402
MEDICARE GROUP PIN
WA
01
P00377834
MEDICARE RR
WA
Enumeration date
05/31/2006
Last updated
11/28/2007
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