Individual
MARCO A ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 NW 46TH ST, VANCOUVER, WA 98663-1266
(503) 380-9563
Mailing address
416 NW 46TH ST, VANCOUVER, WA 98663-1266
(503) 380-9563
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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