Individual
GARY LYLE TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
16111 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-9033
(360) 254-0994
(360) 254-0930
Mailing address
16111 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-9033
(360) 254-0994
(360) 254-0930
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60496635
WA
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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