Gimenez, Alicia Suzanna
Gimenez, Alicia Suzanna is an individual health care provider with primary practice located at 212 Skyline Dr , White Salmon WA 98672. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gimenez, Alicia Suzanna can be contacted via phone (509) 493-2133.Contact Information
Primary practice address
212 Skyline Dr
White Salmon WA 98672
Phone: (509) 493-2133
Fax: (509) 493-9538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00033032 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD20959 | Oregon |
Profile Details
| NPI number | 1780676148 |
|---|---|
| LBN Legal business name | Gimenez, Alicia Suzanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Aug 26th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780676148 | NPPES |
| Washington | MEDICAID | 8194987 |
Popular Providers
-
Bolstad, Margot R
65371 Wa-14 , White Salmon WA 98672-9867 -
Janney, James Garfield
212 Skyline Dr , White Salmon WA 98672-8950 -
Didier, Erica
211 Skyline Dr Po Box 99, White Salmon WA 98672 -
Witherrite, Liette C
212 Ne Skyline Dr , White Salmon WA 98672-1948 -
Vance, Chardonnay
181 W Jewett Blvd , White Salmon WA 98672-8974 -
Witherrite, Troy R
212 Skyline Dr , White Salmon WA 98672-0212 -
Pennington, Paul
125 Se 5Th Ave , White Salmon WA 98672-0117 -
Nagle, Jordan Joseph
211 Ne Skyline Dr , White Salmon WA 98672-1948