Sydney Fountain, PA

PHYSICIAN ASSISTANT

525 Lilly Rd Ne

Olympia, WA 985065101

**NPI:** 1356050744

**Med School:** OTHER

**Experience:** 3 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (2)

PROVIDENCE HEALTH AND SERVICES WASHINGTON

525 Lilly Rd Ne
Olympia, WA 985065101

Phone:

**Group ID:** 6709782600 | **Group Size:** 428 members

PROVIDENCE HEALTH AND SERVICES WASHINGTON

1000 S Scheuber Rd
Centralia, WA 985318877

Phone: (360) 330-8950

**Group ID:** 6709782600 | **Group Size:** 428 members

PROVIDENCE CENTRALIA HOSPITAL Type: Hospital
914 S SCHEUBER ROAD
Phone: (360) 330-8530
Medicare CCN: 500019 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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