Individual
MICHELLE L HAVERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 609-6700
Mailing address
15501 NE PERRAULT DR, VANCOUVER, WA 98684-8652
(360) 896-6435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002133
WA
Other
Enumeration date
01/16/2013
Last updated
03/19/2013
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