Organization
AETHENA GYNECOLOGY ASSOCIATES, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE A STRUXNESS M.D. (PHYSICIAN/OWNER)
(360) 693-7878
Entity
Organization
Contact information
Practice address
1498 SE TECH CENTER PLACE, SUITE 100, VANCOUVER, WA 98683
(360) 693-7878
(360) 892-5724
Mailing address
1498 SE TECH CENTER PLACE, SUITE 100, VANCOUVER, WA 98683
(360) 693-7878
(360) 892-5724
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
AP30003214
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7124332
—
WA
Enumeration date
05/08/2007
Last updated
09/29/2011
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