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Individual

BETHANY LYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
418 W MAIN STREET, BREWSTER, WA 98812
(509) 689-8900
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60138565
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0293306
L&I
WA
05
1972769446
WA
01
P01132199
RR MEDICARE
WA
01
P01290343
RR MEDICARE
WA
Enumeration date
08/04/2008
Last updated
05/13/2014
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