Individual
SALLY L CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20730 BOND RD NE STE 205, POULSBO, WA 98370-9000
(360) 779-9727
Mailing address
8884 SELBO PEAK PL NW, BREMERTON, WA 98311-9456
(360) 509-2612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003503
WA
Other
Enumeration date
12/18/2009
Last updated
11/23/2016
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