Individual
ANDREA LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 NE 87TH AVE, STE 301, VANCOUVER, WA 98664-1989
(360) 514-7374
(360) 514-7314
Mailing address
505 NE 87TH AVE, STE 301, VANCOUVER, WA 98664-1989
(360) 514-7374
(360) 514-7314
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD00040098
WA
208C00000X
Colon & Rectal Surgery Physician
MD24549
OR
Other
Enumeration date
12/14/2006
Last updated
04/09/2013
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