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Individual

BETH LORAINE BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
600 ORONDO AVE, WENATCHEE, WA 98801-2800
(509) 662-6000
Mailing address
600 ORONDO AVE, WENATCHEE, WA 98801-2800
(509) 662-6000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-233
ID
363A00000X
Physician Assistant
Primary
PA10003496
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010142568
REGENCE BLUESHIELD OF ID
05
805151900
ID
05
8349268
WA
01
P01532121
RAILROAD MEDICARE-IDAHO
ID
01
P01566479
RAILROAD MEDICARE-WASHINGTON
WA
01
PAII3
BLUE CROSS OF IDAHO
Enumeration date
09/27/2006
Last updated
09/04/2024
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