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Individual

DONNA LOUISE ELAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3118 BANKS LN SW, TUMWATER, WA 98512-1451
(360) 561-3098
Mailing address
3118 BANKS LN SW, TUMWATER, WA 98512-1451
(360) 561-3098

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003960
WA
363A00000X
Physician Assistant
Primary
52690
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8361933
WA
Enumeration date
01/17/2007
Last updated
08/03/2026
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