Individual
ELEEN A KIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2000
Mailing address
PO BOX 249, LONGVIEW, WA 98632-7154
(360) 414-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00018086
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118362
LABOR & IND.
WA
05
—
120402
—
OR
05
—
1218908
—
WA
01
—
8921452
CRIME VICTIMS
WA
Enumeration date
08/19/2005
Last updated
07/09/2007
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