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Search › Washington › 363LA2200X

Thepthara Pholsena

NPI 1588932495 · on the registry since 2011

Practice

Address
17707 W Main St
1st Fl
Monroe, WA 98272
Phone
(360) 282-3885
Fax
(360) 282-3886
Organisation at this address
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-12-06

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