363LW0102X
Vancouver, WA
Specialty
363LW0102X
Credential
ARNP
NPI
1134851967
700 Ne 87th Ave., Vancouver, WA 98664
(360) 882-2778Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363lw0102x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LW0102X