Provider Demographics
NPI:1861294290
Name:ANDREWS, PAULETTE (CPC)
Entity type:Individual
Prefix:
First Name:PAULETTE
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 S GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:AIRWAY HEIGHTS
Mailing Address - State:WA
Mailing Address - Zip Code:99001-9030
Mailing Address - Country:US
Mailing Address - Phone:509-789-7630
Mailing Address - Fax:
Practice Address - Street 1:808 COMMUNITY HALL RD
Practice Address - Street 2:
Practice Address - City:CUSICK
Practice Address - State:WA
Practice Address - Zip Code:99119-6034
Practice Address - Country:US
Practice Address - Phone:509-447-7193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61424745175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist