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Individual

CAULDA L POPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
140 SW 146TH ST, BURIEN, WA 98166-1912
(206) 901-2300
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003138
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8401481
WA
Enumeration date
05/16/2007
Last updated
09/14/2007
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