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Organization
MOBILE HEALTHCARE PROVIDERS NORTHWEST
Active
Organization
MOBILE HEALTHCARE PROVIDERS NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BUCKLAND APRN, FNP-BC (OWNER)
(360) 773-7463
Entity
Organization
Contact information
Practice address
415 SE 177TH AVE, VANCOUVER, WA 98683-4201
(360) 980-2441
(877) 491-4990
Mailing address
PO BOX 728, CAMAS, WA 98607-0728
(360) 980-2441
(360) 831-0047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/19/2015
Last updated
01/26/2022
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