Individual
MS. LEANN K NEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
204 E 25TH ST, VANCOUVER, WA 98663-3219
(360) 852-5160
Mailing address
14414 NE 311TH CIR, BATTLE GROUND, WA 98604-7812
(360) 852-5160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12476
STATE OF OREGON
OR
01
—
MA00022108
STATE OF WASHINGTON
WA
Enumeration date
09/09/2007
Last updated
09/09/2007
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