Individual
MRS. JESSICA EDLUND DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
1014 MAIN STREET, VANCOUVER, WA 98660
(360) 695-1014
(360) 750-1374
Mailing address
1014 MAIN STREET, VANCOUVER, WA 98660
(360) 695-1014
(360) 750-1374
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/22/2013
Last updated
02/02/2017
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