Individual
VICKY LEE STARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
852 COMMERCE AVE, LONGVIEW, LONGVIEW, WA 98632-2406
(360) 501-3750
(360) 501-3755
Mailing address
PO BOX 3002, LONGVIEW, LONGVIEW, WA 98632-0302
(360) 414-2048
(360) 575-6749
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003638
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172655
LABOR & IND.
WA
05
—
298854
—
OR
05
—
8364184
—
WA
01
—
8943352
CRIME VICTIMS
WA
Enumeration date
09/25/2005
Last updated
07/09/2007
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