Individual
ALEX AMANDA BARNES-RICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE STE 220, VANCOUVER, WA 98664-4896
(360) 397-3462
Mailing address
700 NE 87TH AVE STE 220, VANCOUVER, WA 98664-4896
(360) 397-3462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD192430
OR
208M00000X
Hospitalist Physician
Primary
MD61206070
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG177443
OR
Other
Enumeration date
05/23/2016
Last updated
09/06/2024
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