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Organization
SENIOR CONNECTIONS PSYCHIATRY PLLC.
Active
Organization
SENIOR CONNECTIONS PSYCHIATRY PLLC.
Active
Other names
Senior Connections Psychiatry, PLLC.
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W AGNOR PH.D. (EXECUTIVE DIRECTOR)
(360) 253-4912
Entity
Organization
Contact information
Practice address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
Mailing address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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