Individual
CHARLES NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
5514 NE 107TH AVE, SUITE 101, VANCOUVER, WA 98662-6346
(360) 254-0400
Mailing address
5514 NE 107TH AVE, SUITE 101, VANCOUVER, WA 98662-6346
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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