Individual
GLEN SCHEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
668 SE POLK ST, CAMAS, WA 98607-2234
(360) 513-6757
Mailing address
668 SE POLK ST, CAMAS, WA 98607-2234
(360) 513-6757
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202006073LPN
OR
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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