Individual
RICHARD MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 S WESTERN AVE, TONASKET, WA 98855-9270
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60696486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932591740
—
WA
01
—
P01726039
RR MEDICARE WVH
WA
Enumeration date
03/03/2015
Last updated
06/29/2022
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