Individual
MARYAM JAMSHIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1240
(360) 397-1328
Mailing address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-3727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00043016
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8371916
—
WA
Enumeration date
06/07/2006
Last updated
02/04/2022
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