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Individual

NATHAN AMBROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
200 NE MOTHER JOSEPH PL STE 110, VANCOUVER, WA 98664-3293
(360) 254-6161
(360) 803-0847
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 803-0847

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA208018
OR
363AS0400X
Surgical Physician Assistant
Primary
PA61409222
WA

Other

Enumeration date
03/08/2021
Last updated
10/30/2024
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