Individual
ANGELA DYCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, BLDG. 17, VANCOUVER, WA 98661
(360) 397-8246
Mailing address
10010 SW 125TH AVE APT 106, BEAVERTON, OR 97008-8121
(503) 382-7694
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201811033LPN
OR
164W00000X
Licensed Practical Nurse
LP61051868
WA
Other
Enumeration date
12/31/2018
Last updated
07/24/2020
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