Individual
JULIA DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 604-6700
Mailing address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 604-6700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60717293
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT60717293
WDOH
WA
Enumeration date
01/18/2017
Last updated
01/18/2017
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