Individual
MS. KATIE ELLEN WINANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4421 NE ST JOHNS RD, SUITE F, VANCOUVER, WA 98661-2573
(360) 695-9922
(360) 695-1310
Mailing address
4421 NE ST JOHNS RD, SUITE F, VANCOUVER, WA 98661-2573
(360) 695-9922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01113
OR
363A00000X
Physician Assistant
Primary
PA60217469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070416
NCCPA NATIONAL
—
01
—
PA01113
OREGON MED BOARD
OR
01
—
PA60217469
LICENSE
WA
Enumeration date
09/29/2006
Last updated
03/07/2023
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