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Individual

MICHELLE SO-PATZER WYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205-3523
(503) 299-9906
Mailing address
13743 NE 30TH AVE, VANCOUVER, WA 98686-4334

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95153554
CA

Other

Enumeration date
08/07/2023
Last updated
04/02/2026
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