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1285003913
ELIZABETH WHITESIDE
PORT ORCHARD, WA
NPI
1285003913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 201606700NP-PP)
Enumeration Date
2015-09-23
Last Update Date
2021-09-07
Business Address
ELIZABETH WHITESIDE PMHNP
320 S KITSAP BLVD
PORT ORCHARD, WA 98366-3778
Phone number: 360-377-3776
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Mailing Address
ELIZABETH WHITESIDE PMHNP
PO BOX 960
BREMERTON, WA 98337-0212
Phone number: 360-377-3776
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