Individual
MEGUMI S KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
Mailing address
PO BOX 4979, PORTLAND, OR 97208-4979
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60555328
WA
Other
Enumeration date
06/13/2012
Last updated
09/17/2015
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