Individual
KATHERINE MACOMBER MILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
818 CORONA ST, PORT TOWNSEND, WA 98368-4920
(360) 385-5982
Mailing address
1033 29TH ST, PORT TOWNSEND, WA 98368-6130
(360) 385-5982
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00005496
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1523847
COMMUNITY HEALTH PLAN OF WASHINGTON
WA
Enumeration date
07/26/2006
Last updated
11/30/2009
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