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Contact Information

MARINA V DOLMATOVA, ARNP
2622 S MERIDIAN
PUYALLUP, WA98373-1500
 Phone: 253-841-2453
 Fax: 253-840-5519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for MARINA V DOLMATOVA · (Female)

NPI Number 1043865421
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 08/02/2019
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WA License # AP61194717
  • WA License # RN60656201
  • WA Medicaid AP61194717
Hospital affiliation(s)
  • COLUMBIA MEMORIAL HOSPITAL - (Critical Access)
    2111 EXCHANGE STREET
    ASTORIA, OR 97103
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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