Individual
JOSHUA ENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 SE 124TH AVE, VANCOUVER, WA 98683-6417
(360) 521-0506
Mailing address
1505 SE 124TH AVE, VANCOUVER, WA 98683-6417
(360) 521-0506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60481142
WA
314000000X
Skilled Nursing Facility
RN60481142
WA
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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