PA Gordon Ray Washington, NPI 1205990504
Medical Physician Assistant in Cp Red Cloud, REPUBLIC OF KOREA, KR

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1205990504
NPI Entity Type Individual
Provider Name PA Gordon Ray Washington
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address Hhsc Stb, Unit #15110, Cp Red Cloud, REPUBLIC OF KOREA, KR
Provider Mailing Address 723 Daffodil St, Fountain, CO, US, 808174174
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363AM0700X

Taxonomy Name Medical Physician Assistant
Classification

Physician Assistant

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 1034659
License State CO
Description Definition to come...

Other Name

PA Gordon Ray Washington
Professional Name

Business Address

PA Gordon Ray Washington
Hhsc Stb
Unit #15110

Cp Red Cloud, REPUBLIC OF KOREA, KR

Phone: 315-732-7379

Mailing Address

PA Gordon Ray Washington
723 Daffodil St
Fountain, CO, US
ZIP 808174174
Phone: 719-339-0767

Other Providers in REPUBLIC OF KOREA, KR

NPI Name Taxonomy Address

1417563479

Lydia Kay Blondin

Individual

Physical Therapy Clinic/Center

Unit 15245 Camp Humphreys

Bdaach

Camp Humphreys, REPUBLIC OF KOREA

1487631339

DDS Soomo Lee

Individual

General Practice Dentistry

Dentac

618 Md Co Dental

Yonghsan, REPUBLIC OF KOREA

1205990504

PA Gordon Ray Washington

Individual

Medical Physician Assistant

Hhsc Stb

Unit #15110

Cp Red Cloud, REPUBLIC OF KOREA

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