Individual
SHIVA NOROUZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6529 NE HIGHWAY 99, VANCOUVER, WA 98665-8719
(360) 836-0065
(360) 900-0488
Mailing address
6529 NE HIGHWAY 99, VANCOUVER, WA 98665-8719
(360) 836-0065
(360) 900-0488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA217555
OR
363A00000X
Physician Assistant
Primary
PA61476193
WA
Other
Enumeration date
08/14/2023
Last updated
08/14/2025
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