SearchIdaho363A00000X

Charlotte Ainge, PAC

NPI 1689661050 · on the registry since 2005

Practice

Address
156 N. 6th St
Potlatch, ID 83855
Phone
(208) 875-2380

Additional practice sites

  • 213 N Main, Moscow, ID
  • 213 N Main, Moscow, ID

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-16

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 Idaho