Individual
ANITA JOY DEMLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE STE 110, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1761
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 397-4040
(360) 604-1770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00035734
WA
207P00000X
Emergency Medicine Physician
MD17263
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012694
—
WA
Enumeration date
05/24/2006
Last updated
05/08/2019
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