Individual provider · Type 1 NPI

Jessica Rae Iddings, LMP

Specialist · Longview, WA

NPI number 1982746558 Active

Practice location

1060 Hudson St
Longview, WA 98632-3103

Call (360) 423-2037 Map

Mailing address

713 Nevada Dr
Longview, WA 98632-5603

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1982746558

Jessica Rae Iddings, LMP's National Provider Identifier is 1982746558, issued on Feb 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Longview, WA. The record was last updated on Jul 8, 2007.