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Paradise Wound Healing Professionals, Pllc
Specialist in Clarkston, Washington
NPI 1285750901

Paradise Wound Healing Professionals, Pllc is a Specialist based in Clarkston, WA. Paradise Wound Healing Professionals, Pllc practices in Clarkston, WA. The NPI Number for Paradise Wound Healing Professionals, Pllc is 1285750901 and holds a License No. 602411261 (Washington).

The current practice location address for Paradise Wound Healing Professionals, Pllc is 1119 Highland Avenue, Clarkston, WA and can be reached out via phone at 509-758-1119 and via fax at 509-758-1140.

Location: 1119 Highland Avenue, Clarkston, WA, 99403-0189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285750901
Provider Name
Paradise Wound Healing Professionals, Pllc
Credential
Provider Entity Type
Organization
Address
1119 Highland Avenue, Clarkston, WA, 99403-0189
Phone Number
509-758-1119
Fax Number
509-758-1140
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DJVB5 01 BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
1119 Highland Avenue
City
Clarkston
State
Washington
Zip
99403-2836
Phone Number
509-758-1119
Fax Number
509-758-1140
person
Provider Business Mailing Address Details
Address
1119 Highland Avenue
City
Clarkston
State
Washington
Zip
99403-2836
Phone Number
509-758-1119
Fax Number
509-758-1140
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
602411261 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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