Individual
DR. ELISE JUNE AUGENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
804 S WASHINGTON ST, SUITE A, MOSCOW, ID 83843-3182
(208) 883-6476
Mailing address
825 SE BISHOP BLVD, SUITE 401, PULLMAN, WA 99163-5517
(509) 339-2394
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41948
WA
2084P0800X
Psychiatry Physician
M-8575
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23913
GROUP HEALTH COOPERATIVE
WA
05
—
8367062
—
WA
01
—
911031583 1583AU
ASURIS NORTHWEST HEALTH
WA
Enumeration date
07/21/2006
Last updated
09/17/2013
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