Individual
MR. ROSS ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
11802 NE 65TH ST, SUITE 100, VANCOUVER, WA 98662-5521
(360) 253-6883
Mailing address
11802 NE 65TH ST, SUITE 100, VANCOUVER, WA 98662-5521
(360) 253-6883
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024617
WA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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