Individual
HANNAH WOODWORTH
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
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.60498598
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578968046
—
WA
01
—
P01553834
RR PTAN
WA
Enumeration date
10/27/2014
Last updated
12/29/2015
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