Individual
DR. NICHOLAS GRAHAM WYSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 NE 87TH AVE, SUITE 250, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1727
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD157002
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD60629767
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD60629767
WA
Other
Enumeration date
04/29/2009
Last updated
06/10/2016
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