Individual
MS. CHARLENE JEAN GILPATRICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMP LMT NCTMB
Contact information
Practice address
3 MURDOCK WAY, TROUT LAKE, WA 98650
(509) 395-2468
(509) 395-2468
Mailing address
PO BOX 259, TROUT LAKE, WA 98650-0259
(509) 395-2468
(509) 395-2468
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
29660100
—
225700000X
Massage Therapist
4614
OR
225700000X
Massage Therapist
Primary
6299
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48871
L&I
WA
Enumeration date
12/13/2005
Last updated
07/08/2007
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