Individual
TIM M PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2000 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4327
(360) 856-7110
Mailing address
10326 HALLORAN RD, BOW, WA 98232-9368
(360) 941-5981
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN00103416
WA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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