Individual
JANA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(971) 645-3774
Mailing address
18211 SE 24TH WAY, VANCOUVER, WA 98683-1838
(971) 645-3774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC60442330
WA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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