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Individual

JAMES ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 NE 139TH ST, SUITE 202, VANCOUVER, WA 98685-2513
(360) 566-9355
Mailing address
900 NE 139TH ST, SUITE 202, VANCOUVER, WA 98685-2513
(360) 566-9355
(360) 816-1327

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041508
WA
208000000X
Pediatrics Physician
MD00041508
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8317349
WA
Enumeration date
07/21/2006
Last updated
11/06/2015
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