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Individual

ELIZA BURWELL CHEITLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
210 SE 136TH AVE, VANCOUVER, WA 98684-6930
(360) 944-9889
Mailing address
1498 SE TECH CENTER PL STE 240, VANCOUVER, WA 98683-5508

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61133066
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/06/2019
Last updated
04/06/2021
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