Individual
MRS. MARJORIE G AUSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(360) 944-4995
Mailing address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(360) 944-4995
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
7095
WA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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