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Organization

VANCOUVER NEUROLOGISTS PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN HARRISON (ADMINISTRATOR)
(360) 256-8865
Entity
Organization

Contact information

Practice address
505 NE 87TH AVE, STE 460, VANCOUVER, WA 98664-1989
(360) 256-8865
(360) 256-7127
Mailing address
505 NE 87TH AVE, STE. 460, VANCOUVER, WA 98664-1989
(360) 256-8865
(360) 256-7127

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7117021
WA
05
7209901
WA
Enumeration date
03/23/2006
Last updated
10/19/2007
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