Individual
MARY CATHERINE PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16500 SE 15TH ST, SUITE 160, VANCOUVER, WA 98683-9665
(360) 718-7944
(360) 718-7931
Mailing address
16500 SE 15TH ST, SUITE 160, VANCOUVER, WA 98683-9665
(360) 718-7944
(360) 718-7931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024639
WA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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