Individual
CHARLENE HALLOWELL ADELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 SHERIDAN ST, PORT TOWNSEND, WA 98368-2931
(360) 385-4848
(360) 379-4383
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
WA
363A00000X
Physician Assistant
Primary
PA60788636
WA
363AM0700X
Medical Physician Assistant
PA60788636
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096878
—
WA
Enumeration date
12/03/2007
Last updated
04/25/2024
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