Individual
MS. DEBRA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9812 NE 26TH AVE, VANCOUVER, WA 98665-5716
(503) 473-1754
Mailing address
9812 NE 26TH AVE, VANCOUVER, WA 98665-5716
(503) 473-1754
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
2405
OR
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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