Individual
DEANNA NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4421 NE ST JOHNS RD STE F, VANCOUVER, WA 98661-2573
(360) 695-9922
Mailing address
2052 SE HAWTHORNE BLVD APT 105, PORTLAND, OR 97214-3891
(716) 430-1695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
24385
NY
363A00000X
Physician Assistant
Primary
60683787
WA
Other
Enumeration date
08/19/2016
Last updated
07/03/2023
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