Organization
MOBILEHEALTHCAREPROVIDERSNORTHWEST
Active
Organization
MOBILEHEALTHCAREPROVIDERSNORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BUCKLAND FNP-BC (PRESIDENT/CEO)
(360) 980-2441
Entity
Organization
Contact information
Practice address
415 SE 177TH AVE, VANCOUVER, WA 98683-4201
(360) 980-2441
(877) 491-4990
Mailing address
PO BOX 728, CAMAS, WA 98607-0728
(360) 980-2441
(877) 491-4990
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
603288428
WA
Other
Enumeration date
07/03/2014
Last updated
01/26/2022
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