Individual provider · Type 1 NPI

Charles Tiffany Barret, P.A.-C.

Medical Physician Assistant · Shelton, WA

NPI number 1821113119 Active

Practice location

90 SE Klah Che Min Dr
Shelton, WA 98584-9216

Fax (360) 427-1951

Mailing address

3040 Lilly Rd NE
Olympia, WA 98506-3007

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10000621 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1821113119

Charles Tiffany Barret, P.A.-C.'s National Provider Identifier is 1821113119, issued on Mar 19, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shelton, WA. The record was last updated on Jul 8, 2007.