Individual
JONATHAN JAMES ARTITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(360) 313-1000
Mailing address
2901 FALK RD, VANCOUVER, WA 98661-6392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 60108547
WA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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