363LA2100X
Vancouver, WA
Specialty
363LA2100X
Credential
ARNP
NPI
1427306976
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 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X