Individual
PATRICIA A. MIZUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4816A NE THURSTON WAY, VANCOUVER, WA 98662
(360) 254-4914
(360) 449-4961
Mailing address
4201 NE 66TH AVE., SUITE 104, VANCOUVER, WA 98661
(360) 254-4914
(360) 449-4961
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00036015
WA
2085R0202X
Diagnostic Radiology Physician
MD17268
OR
Other
Enumeration date
06/09/2005
Last updated
09/21/2012
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