Organization
UNIQUE SERVICES OF VANCOUVER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOR KELLY (ADMINISTRATOR)
(360) 696-0534
Entity
Organization
Contact information
Practice address
2102 E MCLOUGHLIN BLVD, VANCOUVER, WA 98661-4130
(360) 696-0534
(360) 694-6830
Mailing address
PO BOX 2583, VANCOUVER, WA 98668-2583
(360) 696-0534
(360) 694-6830
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
IS-458
WA
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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