Individual
GWYN COREY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 MAIN ST, VANCOUVER, WA 98663
(360) 696-5016
(360) 696-5032
Mailing address
PO BOX 821350, VANCOUVER, WA 98682
(360) 687-5221
(360) 666-0466
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD23051
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8373979
—
WA
Enumeration date
01/31/2006
Last updated
07/08/2007
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