Individual
ANNA MARIA AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-5014
Mailing address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD29245
OR
208000000X
Pediatrics Physician
Primary
MD60087832
WA
Other
Enumeration date
05/10/2007
Last updated
09/11/2009
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