Individual
MS. MARY PATRICIA BIRDELLE JUNKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
501 SE 172ND AVE, #220, VANCOUVER, WA 98684-9542
(360) 882-2778
(360) 604-1717
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60200499
WA
363AS0400X
Surgical Physician Assistant
PA153069
OR
Other
Enumeration date
04/20/2009
Last updated
02/04/2016
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