Individual
EDWARD JAY KAUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2102 E MCLOUGHLIN BLVD STE 100, VANCOUVER, WA 98661-4130
(360) 519-5314
(360) 251-0321
Mailing address
2102 E MCLOUGHLIN BLVD STE 100, VANCOUVER, WA 98661-4130
(360) 519-5314
(360) 251-0321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011543
NC
363L00000X
Nurse Practitioner
AP61151041
WA
363LA2100X
Acute Care Nurse Practitioner
5011543
NC
363LA2100X
Acute Care Nurse Practitioner
RN210225
GA
363LG0600X
Gerontology Nurse Practitioner
5011543
NC
363LG0600X
Gerontology Nurse Practitioner
RN210225
GA
Other
Enumeration date
08/07/2015
Last updated
09/08/2025
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