Individual
DR. TODD W GIENAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1727
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1727
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OP60006016
WA
207RP1001X
Pulmonary Disease Physician
48702-021
WI
207RP1001X
Pulmonary Disease Physician
Primary
OP60006016
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8510836
—
WA
Enumeration date
10/14/2006
Last updated
05/29/2015
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