Provider Demographics
NPI:1659358810
Name:ST ONGE, BARBARA LYNNE (RPH)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LYNNE
Last Name:ST ONGE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 32ND AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122
Mailing Address - Country:US
Mailing Address - Phone:206-282-2881
Mailing Address - Fax:206-282-2817
Practice Address - Street 1:2222 32ND AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122
Practice Address - Country:US
Practice Address - Phone:206-282-2881
Practice Address - Fax:206-282-2817
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP14504183500000X
WAP00014504183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist