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Individual

EVAN HASSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
601 SE 117TH AVE, SUITE 210, VANCOUVER, WA 98683-5297
(360) 254-6161
(360) 449-1139
Mailing address
200 NE MOTHER JOSEPH PL, SUITE 210, VANCOUVER, WA 98664-3299
(360) 254-6161
(360) 449-1139

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60170042
WA
225100000X
Physical Therapist
T 6021
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073742334
WA
Enumeration date
07/08/2009
Last updated
03/25/2015
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