Organization
WHITE SALMON FAMILY PRACTICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA ANN SHORT FNP, BC (NURSE PRACTITIONER, OWNER)
(831) 206-0921
Entity
Organization
Contact information
Practice address
181JEWETT BLVD, WHITE SALMON, WA 98672-0050
(831) 206-0921
Mailing address
PO BOX 50, WHITE SALMON, WA 98672-0050
(831) 206-0921
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP60192028
WA
Other
Enumeration date
01/25/2011
Last updated
01/26/2011
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