Organization
SHOWLAND MEDICAL LLC
Active
Other names
Showland Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA KEIRNAN RN, RNFA,CNOR (RNFA)
(360) 518-5854
Entity
Organization
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 514-2000
(360) 835-0478
Mailing address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00096524
WA
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982631149
—
WA
Enumeration date
09/04/2008
Last updated
07/22/2010
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