Poufong, Etienne Clement
Poufong, Etienne Clement is an sole proprietor health care provider with primary practice located at 1001 - Mountlake Terrace , Mountlake Terrace WA 98043-7510. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Poufong, Etienne Clement can be contacted via phone (469) 321-9543.Contact Information
Primary practice address
1001 - Mountlake Terrace
Mountlake Terrace WA 98043-7510
Phone: (469) 321-9543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP146155 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61426687 | Washington |
Profile Details
| NPI number | 1023626959 |
|---|---|
| LBN Legal business name | Poufong, Etienne Clement |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2020 |
| Last updated | Jun 25th, 2023 - about last year |
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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