Individual
MS. DEBORAH LYNN BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
210 W EVERGREEN BLVD, STE 500, VANCOUVER, WA 98660-3100
(360) 639-3863
(360) 693-6894
Mailing address
210 W EVERGREEN BLVD, STE 500, VANCOUVER, WA 98660-3100
(360) 639-3863
(360) 693-6894
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
00006985
WA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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