163WD0400X
Vancouver, WA
Specialty
163WD0400X
Credential
RN, CDE
NPI
1821364563
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 163wd0400x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 163WD0400X