Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMARA BIDSTRUP
ActiveSAMARA BIDSTRUP is a Optician, Dispensing healthcare provider located in COLVILLE, Washington. NPI 1881378248 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · COLVILLE, WA
Registration Details
- NPI Number
- 1881378248
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2023 (3.1871172240466 yrs)
- Last Updated
- Jun 14, 2023
- License
-
DO61045226 (WA)
Practice Information
- Address
-
810 N HIGHWAYCOLVILLE, WA, 991142028Browse WA providers · Browse ZIP 99114
- Phone
- 5095635009
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.