Individual
IVY L MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
(509) 665-6065
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487699039
—
WA
01
—
315545
L&I POST 7/21/13
WA
01
—
P01256426
RR MEDICARE
WA
Enumeration date
06/18/2006
Last updated
01/15/2016
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