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Individual

RODIE ADELINE RENN-LASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ARNP, APN-C

Contact information

Practice address
221 NE 104TH AVE, SUITE 106, VANCOUVER, WA 98664-4505
(360) 253-2525
(360) 253-3611
Mailing address
PO BOX 864, VANCOUVER, WA 98666-0864
(360) 608-5839

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
200950042NP
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30001630
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0184797
LABOR & INDUSTRIES
WA
Enumeration date
04/12/2007
Last updated
04/26/2010
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