Individual
MRS. PAMELA J KORZENIOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2373 OLD TOKELAND RD, TOKELAND, WA 98590
(360) 267-0119
(360) 267-0417
Mailing address
PO BOX 500, TOKELAND, WA 98590-0500
(360) 267-0119
(360) 267-0417
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004708
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8426595
—
WA
Enumeration date
05/04/2007
Last updated
01/24/2012
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