Individual
DR. KERRY LEE TRAUGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
2405 E 17TH AVE, SUITE 113, SPOKANE, WA 99223
(509) 720-8516
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
202011163NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP60605300
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500815586
—
OR
Enumeration date
11/11/2015
Last updated
05/26/2023
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