Individual
MRS. ELENA KALANTARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5401 NE 79TH AVE, VANCOUVER, WA 98662-6258
(360) 909-4793
Mailing address
615 SE 104TH AVE, VANCOUVER, WA 98664-4630
(360) 909-4793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00153163
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142016
—
WA
Enumeration date
04/02/2013
Last updated
04/02/2013
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