Individual
DR. KRISTIN BROOKE LEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3101 SE 192ND AVE, STE 106, VANCOUVER, WA 98683-1443
(360) 553-7400
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60196401
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760643886
—
WA
05
—
500639748
—
OR
Enumeration date
06/20/2008
Last updated
07/02/2021
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