Individual
FELIKS POLYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7117 NE FAIRWAY AVE, VANCOUVER, WA 98662-3691
(360) 281-4444
Mailing address
7117 NE FAIRWAY AVE, VANCOUVER, WA 98662-3691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60532821
WA
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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