Individual
NATALYA A GAVRISHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPCS
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
(360) 993-3047
Mailing address
PO BOX 1337, VANCOUVER, WA 98666-1337
(360) 993-3000
(360) 993-3047
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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