Individual
ROSS ALAN VANNORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
700 NE 87TH AVE STE 220240, VANCOUVER, WA 98664-4896
(360) 882-2778
Mailing address
700 NE 87TH AVE STE 220240, VANCOUVER, WA 98664-1913
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA172769
OR
363AM0700X
Medical Physician Assistant
Primary
PA60999792
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047684
—
WA
05
—
500690192
—
OR
Enumeration date
07/20/2015
Last updated
03/06/2025
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