Individual
MR. JASON KIMBLE WHITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
2616 NE 68TH ST, VANCOUVER, WA 98665-0323
(360) 693-0493
Mailing address
2616 NE 68TH ST, VANCOUVER, WA 98665-0323
(360) 693-0493
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201042388RN
OR
163WG0100X
Gastroenterology Registered Nurse
Primary
201042388RN
OR
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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