Organization
PEACEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN HOLT (DELEGATED OFFICIAL)
(360) 514-7044
Entity
Organization
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-7550
Mailing address
200 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3299
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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