Individual
PAUL PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 SE 5TH AVE, WHITE SALMON, WA 98672-0117
(509) 281-3012
Mailing address
125 SE 5TH AVE, WHITE SALMON, WA 98672-0117
(509) 281-3012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00014274
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8160228
—
WA
Enumeration date
07/31/2006
Last updated
04/24/2014
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