Individual
BAROVEN CLARK GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3400 MAIN ST, VANCOUVER, WA 98663-2223
(360) 759-1500
(360) 759-1517
Mailing address
16217 NE 12TH ST, VANCOUVER, WA 98684-9459
(360) 256-0584
(360) 256-0584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
084053663RN
OR
163W00000X
Registered Nurse
Primary
RNOO141825
WA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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