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Individual

MARIE A KIRKPATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100
Mailing address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.60548098
WA
363AM0700X
Medical Physician Assistant
Primary
PA164727
OR
363AM0700X
Medical Physician Assistant
PA218441
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA164727
LICENSE
OR
01
PA60548098
WASHINGTON MEDICAL BOARD
WA
Enumeration date
10/10/2013
Last updated
05/28/2026
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