Individual
TAWNA L BARCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
310 S ROOSEVELT, GOLDENDALE, WA 98620
(509) 773-4022
Mailing address
8904 NE 15TH AVE C25, VANCOUVER, WA 98665
(907) 947-2866
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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