Individual
MS. HEATHER CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-2889
(360) 736-3136
Mailing address
1900 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-2889
(360) 736-3136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100005005
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8451627
—
WA
Enumeration date
05/12/2006
Last updated
02/23/2010
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