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Contact Information

AMBASSADOR'S HEALTH ALLIANCE
4 STOLLER RD
TROUT LAKE, WA98650-9712
 Phone: 509-395-2061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMBASSADORS HEALTH ALLIANCE · (Female)

NPI Number 1881125284
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2017
Last updated 05/13/2026 - About a month ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 200750145NP
  • OR License # DO157483
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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