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Individual

MR. PAUL T WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, MS, FNP, ARNP

Contact information

Practice address
1601 E FOURTH PLAIN BLVD, BLDG D7, VANCOUVER, WA 98661-3753
(888) 233-8305
Mailing address
800 NE TENNEY RD, STE 110 PMB 538, VANCOUVER, WA 98685-2831
(360) 936-9316

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
099007038N1
OR
363LF0000X
Family Nurse Practitioner
Primary
AP30005462
WA

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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