Organization
VANCOUVER SPINE & ORTHOPEDIC REHABILITION CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI WAGGONER (OFFICE MANAGER)
(360) 253-6883
Entity
Organization
Contact information
Practice address
11802 NE 65TH ST, VANCOUVER, WA 98662-5521
(360) 253-6883
Mailing address
11802 NE 65TH ST # 100, VANCOUVER, WA 98662-5521
(360) 253-6883
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CH00002774
WA
174400000X
Specialist
PT00006628
WA
Other
Enumeration date
06/04/2008
Last updated
07/28/2008
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