Organization
PACIFIC NORTHWEST ELECTROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY JONES (OWNER)
(503) 734-7764
Entity
Organization
Contact information
Practice address
11714 NE CRESTWOOD DR STE B, VANCOUVER, WA 98684-5034
(503) 734-7764
Mailing address
11714 NE CRESTWOOD DR STE B, VANCOUVER, WA 98684-5034
(503) 734-7764
(503) 296-2657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/27/2026
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