Individual
CELINE PEARL SO SI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 NE 139TH ST STE 130, VANCOUVER, WA 98686-2719
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
009014
GA
207Q00000X
Family Medicine Physician
Primary
MD61389596
WA
Other
Enumeration date
06/27/2017
Last updated
06/08/2023
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