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NPI 1417883919 · on the registry since 2026

Practice

Address
6000 Kanakanak Rd
Dillingham, AK 99576
Phone
(907) 842-3398
Organisation at this address
Bristol Bay Area Health Corp
Bristol Bay Area Health Corporation
Bristol Bay Area Health Corporation
Bristol Bay Area Health Corporation
Bristol Bay Area Health Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
183

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-22

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 Alaska