Individual
MARC-ANTHONY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5197 NW LOWER RIVER RD., VANCOUVER, WA 98660
(360) 205-1222
Mailing address
5197 NW LOWER RIVER RD., #1, VANCOUVER, WA 98660-1678
(626) 825-4180
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
07/14/2022
Last updated
10/13/2022
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