Individual
JEROME J DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 NE MOTHER JOSEPH PLACE, SUITE 110, VANCOUVER, WA 98664
(360) 254-6161
(360) 449-1139
Mailing address
200 NE MOTHER JOSEPH PLACE, SUITE 210, VANCOUVER, WA 98664
(360) 254-6161
(360) 449-1139
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036117745
IL
207X00000X
Orthopaedic Surgery Physician
Primary
MD60005618
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8516940
—
WA
Enumeration date
04/11/2007
Last updated
01/27/2009
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