225700000X
Vancouver, WA
Specialty
225700000X
Credential
LMP
NPI
1033279856
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 225700000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225700000X