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Carissa A Dahl

Family Medicine in Ellensburg, WA. Individual provider (NPI-1).

NPI number1356808596
StatusActive
Last updated in NPPESFeb 25, 2019

Details

NPI
1356808596
Entity type
Individual (NPI-1)
Name
Carissa A Dahl
Sex
Female
Sole proprietor
No
Enumeration date
Feb 25, 2019
Last updated
Feb 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineAP60932540WAYes

Practice location

716 E Manitoba Ave
Ellensburg, WA 98926-3842

Phone 509-933-8777

Mailing address

716 E Manitoba Ave
Ellensburg, WA 98926-3842

Phone 509-933-8777

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