Individual
SON T DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 NE 134TH ST, SUITE 205, VANCOUVER, WA 98686-3025
(360) 576-5060
Mailing address
2415 NE 134TH ST, SUITE 205, VANCOUVER, WA 98686-3025
(360) 576-5060
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00042129
WA
207RG0100X
Gastroenterology Physician
MD182143
OR
Other
Enumeration date
07/10/2006
Last updated
10/01/2025
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