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Organization

EWH INC

Active
Other names
Eastside Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SARA MAGNUSON-WHYTE DNP, ARNP, PMHNP, BC (SECRETARY/TREASURER)
(360) 943-5127
Entity
Organization

Contact information

Practice address
1100 EASTSIDE ST SE, OLYMPIA, WA 98501-7304
(360) 943-5127
(360) 754-2516
Mailing address
1100 EASTSIDE ST SE, OLYMPIA, WA 98501-7304
(360) 943-5127
(360) 754-2516

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
UBI601998920
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7099070
WA
05
7900491
WA
Enumeration date
05/11/2007
Last updated
04/05/2013
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