Individual
TAUNI M URDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 GOETHALS DRIVE, 1ST FLOOR, RICHLAND, WA 99352-3304
(509) 946-7931
(509) 946-7223
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99337-5092
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60115658
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0259156
LABOR & INDUSTRIES
WA
Enumeration date
10/20/2009
Last updated
04/23/2021
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