Individual
SHANE RIRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1301 N EPHRATA AVE, CONNELL, WA 99326-9601
(509) 543-5800
Mailing address
1301 N EPHRATA AVE, CONNELL, WA 99326-9601
(509) 543-5800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60566156
WA
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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