Individual
VICTORIA INNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
V
Contact information
Practice address
155 MEMORIAL DRIVE, PINEHURST, NC 28374-8710
(910) 715-2164
(910) 715-1247
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OP61187913
WA
207R00000X
Internal Medicine Physician
OP61187913
WA
208M00000X
Hospitalist Physician
Primary
2025-01889
NC
208M00000X
Hospitalist Physician
OP61187913
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189109
—
WA
Enumeration date
05/17/2018
Last updated
08/08/2025
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