Individual
TERESA MIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 604-1771
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 604-1771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00044269
WA
208M00000X
Hospitalist Physician
Primary
MD00044269
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8410938
—
WA
Enumeration date
06/12/2006
Last updated
12/17/2009
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