Individual
OLGA N GOLDINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
417 SE 164TH AVE STE 300, VANCOUVER, WA 98684-8944
(360) 896-6944
Mailing address
8101 NE 86TH AVE, VANCOUVER, WA 98662-2894
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN60209371
WA
363LF0000X
Family Nurse Practitioner
201909239NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP61008319
WA
Other
Enumeration date
06/10/2019
Last updated
04/07/2021
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