Individual
MOJGAN AMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(800) 813-2000
Mailing address
PO BOX 32, LIBERTY LAKE, WA 99019-0032
(509) 525-3320
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
6466
NE
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
MD60544527
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046055
—
WA
05
—
500712215
—
OR
Enumeration date
07/30/2011
Last updated
04/21/2023
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