Individual
IJAZ MAHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13711 NE 100TH ST, VANCOUVER, WA 98682-2884
(360) 953-0266
Mailing address
13711 NE 100TH ST, VANCOUVER, WA 98682-2884
(360) 953-0266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61657288
WA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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