Individual
DR. MARIE KATHERINE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
400 E EVERGREEN BLVD, SUITE #311, VANCOUVER, WA 98660
(360) 686-9594
(360) 906-7111
Mailing address
400 E EVERGREEN BLVD, SUITE #311, VANCOUVER, WA 98660
(360) 686-9594
(360) 906-7111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1636
OR
103T00000X
Psychologist
Primary
PY00003105
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7133002
—
WA
Enumeration date
11/28/2006
Last updated
07/08/2007
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