Individual
JANET ELAINE GREENSLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
305 PACIFIC AVE S STE C, KELSO, WA 98626-1638
(360) 644-1047
Mailing address
305 PACIFIC AVE S STE C, KELSO, WA 98626-1638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61007402
WA
Other
Enumeration date
11/02/2018
Last updated
10/14/2022
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