Eileen M Ravella PA-C

NPI 1043237134 - Physician Assistant - 363A00000X

NPI Details
NPI 1043237134
Gender Female
Enumeration Date 07/16/2006
Last Updated 05/27/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
413 LILLY RD NE
PROVIDENCE ST PETER INTERVENTIONAL RADIOLOGY
OLYMPIA WA, 98506-5133, US
Phone (360) 491-9480
Fax
Business Location
PO BOX 3360
PORTLAND OR, 97208-3360, US
Phone (866) 747-2455
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Oklahoma
License Number 502
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According to our database, Eileen M Ravella PA-C NPI is 1043237134, taxonomy code is 363A00000X and license number is 502, license state is located at Oklahoma. Eileen M Ravella PA-C physically located at 413 Lilly Rd Ne, Olympia WA, 98506-5133. NPI Number Eileen M Ravella PA-C has the Individual type.

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1043237134 NPI number is provided on an as is basis without warranty of any kind. 1043237134 is maintained by the National Plan & Provider Enumeration System. The contents of Eileen M Ravella PA-C are for informational purposes only.