Individual
REBECCA HYSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2004 BROADWAY ST, VANCOUVER, WA 98663-3327
(360) 993-8868
Mailing address
4639 NW LINCOLN AVE, VANCOUVER, WA 98663-1767
(360) 906-0108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013337
WA
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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