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Search › Washington › 363AM0700X

Samantha Gustafson, PAC

NPI 1376262246 · on the registry since 2022

Practice

Address
714 W Pine St Bldg C
Newport, WA 99156
Phone
(509) 447-3139
Fax
(509) 897-8597
Organisation at this address
Pend Oreille River Emergency Physicians Pllc
Pend Oreille County Public Hospital District No 1
Pend Oreille County Public Hospital District No 1
Pend Oreille County Public Hospital District No 1
Pend Oreille County Public Hospital District No 1
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-10

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