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Mrs. Carol Sue Kircher-sampson, OTRCHT
Contractor in Longview, Washington
NPI 1184726168

Carol Sue Kircher-sampson is a Contractor based in Lake Oswego, WA. Carol Sue Kircher-sampson practices in Longview, WA and has the professional credentials of OTRCHT. The NPI Number for Carol Sue Kircher-sampson is 1184726168 and holds a License No. OT00000149 (Washington).

The current practice location address for Carol Sue Kircher-sampson is 945 11Th Ave, Longview, WA and can be reached out via phone at 360-577-1192 and via fax at 360-577-0519.

Location: 945 11Th Ave, Longview, WA, 97034-4627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184726168
Provider Name
Carol Sue Kircher-sampson
Credential
OTRCHT
Provider Entity Type
Individual
Gender
Female
Address
945 11Th Ave, Longview, WA, 97034-4627
Phone Number
360-577-1192
Fax Number
360-577-0519
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7681018 05 WA
06769 01 WA L&I
K14454 01 WA REGENCE
institution
Provider Business Practice Location Address Details
Address
945 11Th Ave
City
Longview
State
Washington
Zip
98632-2555
Phone Number
360-577-1192
Fax Number
360-577-0519
person
Provider Business Mailing Address Details
Address
945 11Th Ave
City
Longview
State
Washington
Zip
98632-2555
Phone Number
360-577-1192
Fax Number
360-577-0519
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
OT00000149 (Washington)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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