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Individual

JASON PAUL ETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1750
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1750

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00048377
WA
207RG0100X
Gastroenterology Physician
Primary
MD00048377
WA
207RG0100X
Gastroenterology Physician
MD29167
OR

Other

Enumeration date
08/25/2006
Last updated
06/28/2012
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