Individual
TIMOTHY M ZANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
505 NE 87TH AVE STE LL10, VANCOUVER, WA 98664-1988
(360) 256-0026
(360) 254-3161
Mailing address
505 NE 87TH AVE STE LL10, VANCOUVER, WA 98664-1988
(360) 256-0026
(360) 254-3161
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000359
WA
224P00000X
Prosthetist
Primary
PS00000268
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8407983
—
WA
Enumeration date
08/05/2007
Last updated
08/05/2007
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