Individual
DR. EVELYN LEECHAWENGWONGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16821 SE MCGILLIVRAY BLVD, SUITE 110, VANCOUVER, WA 98683-0499
(360) 567-1773
(360) 567-1967
Mailing address
16821 SE MCGILLIVRAY BLVD, SUITE 110, VANCOUVER, WA 98683-0499
(360) 567-1773
(360) 567-1967
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD60279701
WA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
MD157966
OR
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
N7557
TX
Other
Enumeration date
06/20/2007
Last updated
09/06/2012
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