Individual
CRISEY P DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL ASSISTANT
Contact information
Practice address
10344 14TH AVE S, SEATTLE, WA 98168-1689
(206) 245-1086
Mailing address
11606 183RD ST E, PUYALLUP, WA 98374-8872
(253) 740-6446
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HT60363744
WA
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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