Individual
ANDREA COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12306 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6061
(360) 604-5982
(360) 604-5983
Mailing address
12306 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6061
(360) 604-5982
(360) 604-5983
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA00022567
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
891465001
BLUE CROSS BLUE SHIELD OF OREGON
OR
Enumeration date
05/07/2009
Last updated
05/07/2009
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