Individual
KATRINA GILLEENY WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E 33RD ST STE 100, VANCOUVER, WA 98663-2776
(360) 514-7560
Mailing address
100 E 33RD ST STE 100, VANCOUVER, WA 98663-2776
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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