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Individual

JAMIE S KHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8614 E MILL PLAIN #201, VANCOUVER, WA 98664
(360) 254-9991
(360) 254-9997
Mailing address
8614 E MILL PLAIN #201, VANCOUVER, WA 98664
(360) 254-9991
(360) 254-9997

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00048511
WA
208600000X
Surgery Physician
MD427182
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014143190001
PA
Enumeration date
01/25/2006
Last updated
08/02/2007
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