Individual
DR. DAVID W AGNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
(360) 253-5710
Mailing address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
(360) 253-5710
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY-444
HI
103TC0700X
Clinical Psychologist
Primary
PY00001983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7089816
—
WA
Enumeration date
05/20/2006
Last updated
07/09/2007
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