Organization
PERFORMANCE OCCUPATIONAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARISE BRENES (PRESIDENT)
(360) 334-7001
Entity
Organization
Contact information
Practice address
11109 NE 14TH ST STE A, VANCOUVER, WA 98684-4366
(360) 334-7001
(360) 450-3357
Mailing address
11109 NE 14TH ST STE A, VANCOUVER, WA 98684-4366
(360) 334-7001
(360) 450-3357
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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