Individual
MR. ISAAC AUSTIN BUZZ WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.S.
Contact information
Practice address
9300 NE OAK VIEW DR, SUITE B, VANCOUVER, WA 98662-6192
(360) 567-2211
Mailing address
9300 NE OAK VIEW DR, SUITE B, VANCOUVER, WA 98662-6192
(360) 567-2211
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
03/22/2016
Last updated
12/28/2018
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