Individual
DR. JAIME A VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
652 OFFICERS ROW, VANCOUVER, WA 98661-3836
(360) 529-0667
Mailing address
PO BOX 65252, VANCOUVER, WA 98665-0009
(360) 529-0667
(503) 222-2267
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
41020
WA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
41020
WA
Other
Enumeration date
11/07/2005
Last updated
07/26/2019
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