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Individual

MR. EUGENE W. PARTRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3021 GRIFFIN AVE, SUITE 100, ENUMCLAW, WA 98022-2369
(360) 802-5010
(350) 825-6536
Mailing address
3021 GRIFFIN AVE, SUITE 100, ENUMCLAW, WA 98022-2369
(360) 802-5010
(350) 825-6536

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PA10000553
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8371999
WA
Enumeration date
10/19/2005
Last updated
04/08/2011
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