Individual
DALE ALAN DAUENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
2505 LINCOLN AVE, VANCOUVER, WA 98660-2376
(360) 305-1480
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60224227
WA
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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