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Individual

MRS. KATRINA EILEEN MOEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
291 C ST UNIT 110, WASHOUGAL, WA 98671
(360) 882-2778
(360) 604-1644
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-3352
(360) 604-1771

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201250106NP
OR
363LF0000X
Family Nurse Practitioner
Primary
60301097
WA

Other

Enumeration date
07/26/2012
Last updated
07/27/2018
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