Individual
DR. MICHAEL T ONTKEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 NE MOTHER JOSEPH PL, SUITE 200, VANCOUVER, WA 98664-3299
(360) 256-2640
(360) 260-7288
Mailing address
200 NE MOTHER JOSEPH PL, SUITE 400, VANCOUVER, WA 98664-3299
(360) 514-4444
(360) 514-6530
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OP00001374
WA
207RI0011X
Interventional Cardiology Physician
OP00001374
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8109654
—
WA
Enumeration date
05/06/2006
Last updated
11/23/2015
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