Individual
CONNIE LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
501 SE 172ND AVE STE 130, VANCOUVER, WA 98684-9542
(360) 882-2778
(360) 604-1772
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60467704
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60602936
WA
Other
Enumeration date
08/25/2015
Last updated
01/18/2021
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