Individual
BARBARA IRENE SYVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
418 NE 4TH AVE STE 105, CAMAS, WA 98607-2158
(503) 522-2628
Mailing address
2300 NE 52ND ST, VANCOUVER, WA 98663-1983
(503) 522-2628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60961113
WA
Other
Enumeration date
05/26/2019
Last updated
05/26/2019
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