Organization
CODAS PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUANNE LANI CONNER (MANAGER)
(360) 576-7777
Entity
Organization
Contact information
Practice address
800 NE TENNEY RD, SUITE 110 PMB 433, VANCOUVER, WA 98685-2831
(360) 576-7777
(360) 258-3140
Mailing address
800 NE TENNEY RD, SUITE 110 PMB 433, VANCOUVER, WA 98685-2831
(360) 576-7777
(360) 258-3140
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
602387851
WA
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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