Individual
CAITLIN JEAN FERNHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 SE 172ND AVE, VANCOUVER, WA 98684-9542
(360) 882-2778
(360) 604-1784
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1784
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD60251732
WA
390200000X
Student in an Organized Health Care Education/Training Program
RPE 6357
CA
Other
Enumeration date
03/18/2011
Last updated
04/02/2013
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