Individual
MRS. LISA D ZYLSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
406 SE 131ST AVE STE C305, VANCOUVER, WA 98683-4004
(360) 816-0277
(360) 567-4004
Mailing address
24015 NE W H GARNER RD, YACOLT, WA 98675-4303
(360) 823-8084
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004703
WA
Other
Enumeration date
01/22/2007
Last updated
01/21/2022
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