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Individual

HALLIE BLYN GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
700 NE 87TH AVE STE 150, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1653
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 882-2778

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60654479
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/30/2012
Last updated
08/23/2016
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