Individual
DR. DAVID PAVLOVICH VERGULYANETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT.
Contact information
Practice address
109 SE 101ST AVE, VANCOUVER, WA 98664-3907
(503) 208-4130
Mailing address
808 SE CHKALOV DR STE 3 #199, VANCOUVER, WA 98683
(503) 208-4130
(503) 961-1228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63832
OR
Other
Enumeration date
09/28/2023
Last updated
01/29/2025
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