person
Salome Odja Dockendorf
Family Nurse Practitioner in Tacoma, Washington
NPI 1003467127

Salome Odja Dockendorf is a Family Nurse Practitioner based in Silverdale, WA and is specialized in Family. Salome Odja Dockendorf practices in Tacoma, WA. The NPI Number for Salome Odja Dockendorf is 1003467127 and holds a License No. AP61008318 (Washington).

The current practice location address for Salome Odja Dockendorf is 1201 Pacific Ave Ste 19501201, Tacoma, WA and can be reached out via phone at 812-870-6728.

Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA, 98383-8338
person
Provider Profile Details
NPI Number
1003467127
Provider Name
Salome Odja Dockendorf
Credential
Provider Entity Type
Individual
Gender
Female
Address
1201 Pacific Ave Ste 19501201, Tacoma, WA, 98383-8338
Phone Number
812-870-6728
Fax Number
Provider Enumeration Date
09/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003467127 05 WA
institution
Provider Business Practice Location Address Details
Address
1201 Pacific Ave Ste 19501201
City
State
Zip
98402-4301
Phone Number
812-870-6728
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Pacific Ave Ste 19501201
City
State
Zip
98402-4301
Phone Number
812-870-6728
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP61008318 (Washington)
Definition
Definition to come...
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