Individual
SERENA LYNN RUSSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
811 NE 112TH AVE, VANCOUVER, WA 98684-5115
(360) 207-5178
Mailing address
811 NE 112TH AVE STE 106, VANCOUVER, WA 98684-5115
(360) 207-5178
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4434
OR
Other
Enumeration date
10/26/2021
Last updated
01/15/2025
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