Sandra Stork, RC

NPI 1275789885 · on the registry since 2008

Practice

Address: 6760 Mission Rd
Everson, WA 98247
Phone: (360) 966-2106
Fax: (360) 966-7227
Organisation at this address: Nooksack Indian Tribe
Nooksack Dental Clinic
Nooksack Central Management System
Nooksack Central Management System
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington