Individual
ASHLEY COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
(360) 397-8246
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN60850933
WA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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