Individual
JOHN CARL HARVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.S.C.
Contact information
Practice address
7415 NE 94TH AVE, VANCOUVER, WA 98662-3859
(360) 253-6019
Mailing address
7415 NE 94TH AVE, VANCOUVER, WA 98662-3859
(360) 253-6019
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60483081
WA
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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