Individual
BLAINE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 NE 141ST AVE, VANCOUVER, WA 98682-6319
(360) 635-3267
Mailing address
4900 NE 141ST AVE, VANCOUVER, WA 98682-6319
(360) 635-3265
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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