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Individual

MS. DORTHE LETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
2901 SQUALICUM PKWY, BELLINGHAM, WA 98225-1851
(360) 734-5400
(360) 738-6377
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA10004771
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0191720
LIWA
WA
05
8412884
WA
01
8481LE
BSWA
WA
Enumeration date
06/23/2006
Last updated
03/04/2008
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