Individual
SALLY ECRET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6192
(360) 852-4768
Mailing address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6192
(360) 852-4768
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
12/27/2018
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