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
363AM0700X
Medical Physician Assistant
Primary
PA164727
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
08/12/2015
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