Individual
STEPHEN GOULDING JAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 513-7027
Mailing address
14913 NE 82ND ST, VANCOUVER, WA 98682-3413
(360) 513-7027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61641202
WA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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