Doctor Name: | MS. MACHELLE M DOTSON |
NPI Number: | 1689814337 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA01434 |
Business Practice Address: | 875 Sw Rock Creek Dr Stevenson, WA - 986484404 |
Business Phone Number: | 5094274212 |
Business Fax Number: | 5094274955 |
Mailing Address: | Po Box 1519, WHITE SALMON |
State: | WA |
Postal Code: | 986721519 |
Phone Number: | 5094932133 |
Fax Number: | 5094939538 |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 08/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA01434 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |