Individual
MR. JAMIE SCOTT FALCONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
5197 NW LOWER RIVER RD, VANCOUVER, WA 98660-1013
(360) 397-8264
Mailing address
PO BOX 501, VANCOUVER, WA 98666-0501
(208) 616-4197
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
60010434
WA
Other
Enumeration date
12/25/2023
Last updated
03/28/2024
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