Individual
MRS. LISA BIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
370 S MARKET BLVD, CHEHALIS CHILDRENS CLINIC, CHEHALIS, WA 98532
(360) 748-6693
(360) 748-3619
Mailing address
370 S MARKET BLVD, CHEHALIS, WA 98532
(360) 748-6693
(360) 748-3619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004873
WA
Other
Enumeration date
10/04/2006
Last updated
12/16/2015
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