Individual
SARAH CHUMAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5206 NE 136TH PL, VANCOUVER, WA 98682-6102
(360) 609-1405
Mailing address
5206 NE 136TH PL, VANCOUVER, WA 98682-6102
(360) 609-1405
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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