Individual
LARRY PASSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E FRTH PLN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
43103 NE 95TH AVE, WOODLAND, WA 98674-2729
(360) 609-3265
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN60625136
WA
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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