Individual
KATHERINE M DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 HIGHLINE DR, EAST WENATCHEE, WA 98802-5341
(509) 884-0614
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004879
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962421230
—
WA
01
—
200822
L&I
WA
01
—
314772
L&I POST 7/21/13
WA
01
—
8906911
CV
WA
01
—
P01257581
RR MEDICARE
WA
Enumeration date
07/18/2006
Last updated
02/17/2014
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