Individual
GARY R ARMITAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
421 VIVIAN RD, KALAMA, WA 98625-9429
(503) 367-0396
Mailing address
PO BOX 1429, KALAMA, WA 98625-1300
(503) 367-0396
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60412329
WA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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