Individual
DUSTIN COLEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(503) 413-8407
Mailing address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(503) 413-8407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT013026
PA
Other
Enumeration date
05/08/2009
Last updated
04/22/2024
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