# SHOWLAND MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Showland Medical LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366690158
- **Authorized official:** MRS. BRENDA KEIRNAN RN, RNFA,CNOR (RNFA)
- **Authorized official phone:** (360) 518-5854

## Contact information

- **Practice address:** 2211 NE 139TH ST, VANCOUVER, WA 98686-2742
- **Practice address phone:** (360) 514-2000
- **Practice address fax:** (360) 835-0478
- **Mailing address:** 2211 NE 139TH ST, VANCOUVER, WA 98686-2742
- **Mailing address phone:** (360) 487-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN00096524 | WA | — |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 07/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1982631149 | — | WA |