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Individual

LISA R SABATKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
600 NE 92ND AVE, VANCOUVER, WA 98664-3225
(360) 514-2142
(360) 514-6820
Mailing address
PO BOX 5037, UNIT 282, PORTLAND, OR 97208-5037
(360) 514-2142
(360) 514-6820

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004034
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8357873
WA
Enumeration date
05/22/2006
Last updated
05/14/2008
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