Individual
MRS. TERESA L AINSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
2924 FALK RD, VANCOUVER, WA 98661-5604
(360) 690-3069
(360) 726-5961
Mailing address
30011 NW 67TH AVE, RIDGEFIELD, WA 98642-7128
(360) 910-5352
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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