Individual
ANNA GAVRISHOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSN
Contact information
Practice address
9407 NE VANCOUVER MALL DR STE 208, VANCOUVER, WA 98662-6191
(360) 559-1468
Mailing address
9407 NE VANCOUVER MALL DR STE 208, VANCOUVER, WA 98662-6191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61351967
WA
Other
Enumeration date
06/28/2011
Last updated
01/20/2023
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