Individual
MR. PAUL D DE BALDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 418-6001
(360) 896-4478
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 896-4460
(360) 896-4478
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
WA AP30006380
WA
Other
Enumeration date
08/18/2006
Last updated
04/07/2010
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