Individual
GEOFFREY SEVERIN WAMPACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1313 NE 134TH ST STE 220A, VANCOUVER, WA 98685-2722
(360) 356-0060
Mailing address
2919 NE 116TH AVE, VANCOUVER, WA 98682-8720
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61584335
WA
Other
Enumeration date
08/25/2020
Last updated
09/29/2025
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