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Individual

LINNEA FREDRIKSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4816A NE THURSTON WAY, VANCOUVER, WA 98662
(360) 254-4914
(360) 449-4961
Mailing address
4201 NE 66TH AVE., SUITE 104, VANCOUVER, WA 98661
(360) 254-4914
(360) 449-4961

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00030894
WA
2085R0202X
Diagnostic Radiology Physician
MD19047
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8156721
WA
Enumeration date
06/08/2005
Last updated
08/30/2012
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