Lassila, Quahlee Dolores
Lassila, Quahlee Dolores is an individual health care provider with primary practice located at 158 Leudinghaus Rd , Chehalis WA 98532-9244. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lassila, Quahlee Dolores can be contacted via phone (360) 520-4367.Contact Information
Primary practice address
158 Leudinghaus Rd
Chehalis WA 98532-9244
Phone: (360) 520-4367
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30005437 | Washington |
Profile Details
| NPI number | 1861479404 |
|---|---|
| LBN Legal business name | Lassila, Quahlee Dolores |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 24th, 2005 |
| Last updated | Aug 17th, 2009 - 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 | 1861479404 | NPPES |
| Washington | MEDICAID | 9645771 | |
| Washington | Other | P00294166 |
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