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Individual

EDUARDO SERPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686
(360) 487-4367
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
(503) 413-3710

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP60942877
WA
207R00000X
Internal Medicine Physician
PG177714
OR

Other

Enumeration date
04/07/2016
Last updated
06/04/2019
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