Individual
DOUG DULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP, LMT, CSCS
Contact information
Practice address
415 SE 117TH AVE, SUITE 108, VANCOUVER, WA 98683-5269
(360) 260-9999
Mailing address
415 SE 117TH AVE, SUITE 108, VANCOUVER, WA 98683-5269
(360) 260-9999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00016614
WA
Other
Enumeration date
11/20/2006
Last updated
03/21/2011
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