Individual
BARBARA J SHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
150 DENNIS ST SW, TUMWATER, WA 98501-5459
(360) 754-6367
Mailing address
150 DENNIS ST SW, TUMWATER, WA 98501-5459
(360) 754-6367
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10002341
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025519
—
WA
01
—
190051
LABOR & INDUSTRIES
WA
Enumeration date
05/10/2006
Last updated
12/02/2016
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