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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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