Individual
ALISON MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-6650
(509) 522-2349
Mailing address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-6650
(509) 522-2349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60173740
WA
207Q00000X
Family Medicine Physician
MR-0928
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807773900
—
ID
Enumeration date
07/05/2007
Last updated
03/22/2021
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