Individual
BRINA RAYNE MOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 NE 139TH ST STE 380, VANCOUVER, WA 98686-2309
(360) 487-1888
Mailing address
3211 H ST, VANCOUVER, WA 98663-2745
(360) 852-7277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60996167
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60996167
WA
Other
Enumeration date
09/11/2018
Last updated
06/24/2024
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