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Individual

PAULA VEREAN KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2009 NE 117TH ST STE 101, VANCOUVER, WA 98686-4022
(360) 566-9112
Mailing address
300 NW HEERMANN DR, VANCOUVER, WA 98685-2971
(360) 931-1852

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00030688
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33-0652655
WA
Enumeration date
06/21/2018
Last updated
06/21/2018
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