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Individual

ELIA R GONZALEZ-RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
601 MAIN ST STE 505, VANCOUVER, WA 98660-3414
(360) 773-6340
(360) 326-2606
Mailing address
16420 SE MCGILLIVRAY BLVD STE 103-253, VANCOUVER, WA 98683-3461
(801) 648-5520

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
7310134-1205
UT
2084P0800X
Psychiatry Physician
Primary
MD60021935
WA

Other

Enumeration date
09/06/2006
Last updated
07/16/2019
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