Healthcare Provider Details

I. General information

NPI: 1619077534
Provider Name (Legal Business Name): YVONNE E STRATTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 06/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 SE HIGHLAND PARK DR
COLLEGE PLACE WA
99324-1398
US

IV. Provider business mailing address

376 SE HIGHLAND PARK DR
COLLEGE PLACE WA
99324-1398
US

V. Phone/Fax

Practice location:
  • Phone: 509-529-0376
  • Fax:
Mailing address:
  • Phone: 509-529-0376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD00030670
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: