Individual
SHAWN VANDEUSEN TRELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1400
Mailing address
825 NE MULTNOMAH ST, SUITE 1155, PORTLAND, OR 97232-2135
(503) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00044562
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8388084
—
WA
Enumeration date
07/26/2006
Last updated
09/21/2012
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