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Organization
SHOWLAND MEDICAL LLC
Active
Organization
SHOWLAND MEDICAL LLC
Active
Other names
Showland Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA KEIRNAN RN, RNFA,CNOR (RNFA)
(360) 518-5854
Entity
Organization
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 514-2000
(360) 835-0478
Mailing address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00096524
WA
163WR0006X
Registered Nurse First Assistant
Primary
—
NULL
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982631149
—
WA
Enumeration date
09/04/2008
Last updated
07/22/2010
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