Individual
KRISTEN K CLEARWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
14602 NE FOURTH PLAIN BLVD STE A, VANCOUVER, WA 98682-5080
(360) 606-1694
Mailing address
14602 NE FOURTH PLAIN BLVD STE A, VANCOUVER, WA 98682-5080
(360) 606-1694
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014348
WA
Other
Enumeration date
10/25/2006
Last updated
12/15/2022
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