Provider Demographics
NPI:1164550562
Name:STRINGER, PENNEY C
Entity Type:Individual
Prefix:
First Name:PENNEY
Middle Name:C
Last Name:STRINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PENNEY
Other - Middle Name:C
Other - Last Name:STRINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:750 GEORGE WASHINGTON WAY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4247
Mailing Address - Country:US
Mailing Address - Phone:509-943-1122
Mailing Address - Fax:509-943-1125
Practice Address - Street 1:750 GEORGE WASHINGTON WAY
Practice Address - Street 2:SUITE 5
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4247
Practice Address - Country:US
Practice Address - Phone:509-943-1122
Practice Address - Fax:509-943-1125
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038209207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD00038209OtherLICENSE
WAAB37103Medicare ID - Type Unspecified
WAH35205Medicare UPIN