SARA AICKEN

PROVIDENCE HEALTH AND SERVICES WASHINGTON

Dr SARA AICKEN is a female medical professional, specializing in Physician Assistant. She graduated in 2008 from Medical University Of South Carolina College Of Medicine.

Contact

PROVIDENCE HEALTH AND SERVICES WASHINGTON

1200 E COLUMBIA AVE
COLVILLE
WA
991143354

Tel: 5096843701

SARA AICKEN Information

Npi 1780822676
Pac Id 8729123740
Professional Enrollment Id I20170316001432
Last Name AICKEN
First Name SARA
Middle Name
Suffix
Gender F
Credential
Medical School Name MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES WASHINGTON
Group Practice Pac Id 0345139929
Number Of Group Practice Members 544
Line 1 Street Address 1200 E COLUMBIA AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City COLVILLE
State WA
Zip Code 991143354
Phone Number 5096843701
Hospital Affiliation Ccn 1 500054
Hospital Affiliation Lbn 1 PROVIDENCE SACRED HEART MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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