Organization
LEG UP LYMPHEDEMA CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS VARENAS OTR/L (PROPRIETOR)
(503) 295-3602
Entity
Organization
Contact information
Practice address
611 W 32ND ST, VANCOUVER, WA 98660-2163
(503) 295-3602
Mailing address
611 W 32ND ST, VANCOUVER, WA 98660-2163
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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