Individual
MS. MACHELLE M DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
64 GRAND VIEW DR, LYLE, WA 98635-9638
(509) 509-8794
(509) 923-8262
Mailing address
64 GRAND VIEW DR, LYLE, WA 98635-9638
(509) 493-2133
(509) 923-8262
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA01434
OR
363AM0700X
Medical Physician Assistant
Primary
PA60095040
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7033376
—
WA
05
—
7065576
—
WA
05
—
765113
—
WA
Enumeration date
02/20/2009
Last updated
11/20/2025
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