MRS. Sally Marie Waddle, PA-C

NPI #1114325222 in Vancouver, Washington

Provider Information

NPI Number
1114325222
Entity Type
Individual
Name
MRS. Sally Marie Waddle, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Dec 6, 2014
Last Updated
Dec 21, 2021

Practice Location

Address
12607 SE MILL PLAIN BLVD
ZIP Code
98684-6055
Phone
(360) 418-6001

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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