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Individual

SANDRA V LAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
Mailing address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD155918
OR
282N00000X
General Acute Care Hospital
Primary
MD60282613
WA

Other

Enumeration date
05/09/2009
Last updated
06/25/2012
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