Provider Information for 1851858567
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TRISHA ANN THORSON
Other Names:Former Name:TRISHA ANN WOLFSex: Female
NPI: 1851858567
Last Updated: 2022-06-10
Certification Date: 2022-06-10
Certification Date: 2022-06-10
Details
| Name | Value | ||||||||||||
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| NPI | 1851858567 | ||||||||||||
| Enumeration Date | 2019-02-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 325 E PIONEER PUYALLUP, WA 98372-3265 United States Phone: 253-697-8400 | Fax:253-697-3730 | ||||||||||||
| Primary Practice Address | 325 E PIONEER PUYALLUP, WA 98372-3265 United States Phone: 253-697-8400 | Fax:253-697-3730 | ||||||||||||
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