Individual
ANDREA JO KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 NE 87TH AVE STE 301, VANCOUVER, WA 98664-1965
(360) 514-1854
(360) 514-6063
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60647438
WA
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
MD60647438
WA
2086S0102X
Surgical Critical Care Physician
MD60647438
WA
Other
Enumeration date
04/24/2010
Last updated
05/28/2025
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