Individual
JULIE A DEWITT-KAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3208 NE 141ST ST, VANCOUVER, WA 98686-2260
(503) 869-0804
(360) 852-9074
Mailing address
3208 NE 141ST ST, VANCOUVER, WA 98686-2260
(503) 869-0804
(360) 852-9074
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
096006634N6
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30006697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000279
—
OR
Enumeration date
03/17/2006
Last updated
10/06/2011
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