Individual
MARY CATHERINE RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041079
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161976
L&I
WA
05
—
1477585875
—
WA
01
—
P01290322
RR MEDICARE
WA
Enumeration date
07/07/2006
Last updated
05/13/2014
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