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Search › Washington › 101YM0800X

Desirae Bear Eagle

NPI 1427504034 · on the registry since 2016

Practice

Address
21 Colville St
Nespelem, WA 99155
Phone
(509) 634-2600
Organisation at this address
Confederated Tribes Of The Colville Reservation
Confederated Tribes Of The Colville Reservation
Confederated Tribes Of The Colville Reservation
Confederated Tribes Of The Colville Reservation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-09-01

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