Individual
SUE Y COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 SE BISHOP BLVD STE 200, PULLMAN, WA 99163-5537
(509) 332-2517
(509) 334-9247
Mailing address
825 SE BISHOP BLVD STE 200, PULLMAN, WA 99163-5537
(509) 332-2517
(509) 334-9247
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10005109
WA
363AS0400X
Surgical Physician Assistant
PA10005109
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807652900
—
ID
05
—
8476236
—
WA
01
—
PA10005109
PA LICENSE
WA
Enumeration date
10/25/2006
Last updated
09/17/2014
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