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Mr. Charles Tiffany Barret, PA-C
Medical Physician Assistant in Shelton, Washington
NPI 1821113119

Charles Tiffany Barret is a Medical Physician Assistant based in Olympia, WA and is specialized in Medical. Charles Tiffany Barret practices in Shelton, WA and has the professional credentials of PA-C. The NPI Number for Charles Tiffany Barret is 1821113119 and holds a License No. PA10000621 (Washington).

The current practice location address for Charles Tiffany Barret is 90 Se Klah Che Min Dr, Shelton, WA and can be reached out via phone at 360-427-9006 and via fax at 360-427-1951.

Location: 90 Se Klah Che Min Dr, Shelton, WA, 98506-3007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821113119
Provider Name
Charles Tiffany Barret
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
90 Se Klah Che Min Dr, Shelton, WA, 98506-3007
Phone Number
360-427-9006
Fax Number
360-427-1951
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8601197 05 WA
institution
Provider Business Practice Location Address Details
Address
90 Se Klah Che Min Dr
City
Shelton
State
Washington
Zip
98584-9216
Phone Number
360-427-9006
Fax Number
360-427-1951
person
Provider Business Mailing Address Details
Address
90 Se Klah Che Min Dr
City
Shelton
State
Washington
Zip
98584-9216
Phone Number
360-427-9006
Fax Number
360-427-1951
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA10000621 (Washington)
Definition
Definition to come...
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