SYDNEY FOUNTAIN

CENTRALIA, WA
NPI1356050744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA61514013)
Enumeration Date2022-11-15
Last Update Date2024-04-03
Business Address
SYDNEY FOUNTAIN PA-C
1000 S SCHEUBER RD
CENTRALIA, WA 98531-8877
Phone number: 360-330-8950
Mailing Address
SYDNEY FOUNTAIN PA-C
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number:
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