Individual
NATASHA RENEE INGVOLDSTAD-O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E 33RD ST, SUITE 100, VANCOUVER, WA 98663-2776
(360) 514-7550
(360) 514-7553
Mailing address
2595 SW 87TH AVE, PORTLAND, OR 97225-4007
(503) 384-0173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ML20008238
WA
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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