Individual
WENDY R. FOULKROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
820 S MCCLELLAN ST, SUITE 300, SPOKANE, WA 99204-2457
(509) 838-7100
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004537
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202055
L&I
WA
05
—
8437980
—
WA
Enumeration date
09/15/2005
Last updated
01/06/2016
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