Individual
YASMIN ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
552 NE 138TH PL, VANCOUVER, WA 98684-4600
(503) 367-3134
Mailing address
552 NE 138TH PL, VANCOUVER, WA 98684-4600
(503) 367-3134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD23791
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD23791
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269780
—
OR
01
—
P00438698
RR MEDICARE - PROVIDENCE
OR
Enumeration date
05/27/2006
Last updated
12/30/2024
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