Individual
DANIELLE MEYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
174 1ST AVE N, ILWACO, WA 98624-9137
(360) 642-3181
Mailing address
174 1ST AVE N, ILWACO, WA 98624-9137
(360) 642-3181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
04/14/2026
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