Klakken Viramontes, Cassandra

Klakken Viramontes, Cassandra is an sole proprietor health care provider with primary practice located at 411 Fortuyn Rd , Grand Coulee WA 99133-8718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Klakken Viramontes, Cassandra can be contacted via phone (509) 633-1911.

Contact Information

Primary practice address
411 Fortuyn Rd Grand Coulee WA 99133-8718
Phone: (509) 633-1911
Fax: (509) 633-3644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61156360 Washington

Profile Details

NPI number 1295316693
LBN Legal business name Klakken Viramontes, Cassandra
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2021
Last updated Apr 14th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295316693 NPPES
Washington MEDICAID 2188185

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