Individual
PAUL K SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 748-4444
Mailing address
3804 4TH AVE NW, OLYMPIA, WA 98502-2646
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
071891
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00042524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8410466
—
WA
Enumeration date
06/27/2006
Last updated
01/09/2025
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