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Organization

LEAVENWORTH FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSICA BRIDGES ND (BUSINESS ADMINISTRATOR/PHYSICIAN)
(509) 881-0722
Entity
Organization

Contact information

Practice address
10090 MAIN ST APT H, PESHASTIN, WA 98847-9770
(509) 881-0722
(833) 450-1534
Mailing address
10090 MAIN ST APT H, PESHASTIN, WA 98847-9770
(509) 881-0722
(833) 450-1534

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
07/27/2019
Last updated
07/27/2019
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