Trudy Dawn Woudstra
Family Medicine in Olympia, WA. Individual provider (NPI-1).
NPI number1124550165
StatusActive
Last updated in NPPESMay 11, 2021
Details
- NPI
- 1124550165
- Entity type
- Individual (NPI-1)
- Name
- Trudy Dawn Woudstra
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2017
- Certification date
- May 11, 2021
- Last updated
- May 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD.MD.60631924 | WA | Yes |
Other names
- Trudy Dawn Fairhurst (Former Name)
Practice location
1200 Cooper Point Rd SwOlympia, WA 98502-1160
Phone 360-596-4800
Mailing address
1200 Cooper Point Rd SwOlympia, WA 98502-1160
Phone 360-596-4800
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