Individual
DAVID IMPASTATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 300, VANCOUVER, WA 98664-3296
(360) 254-6161
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
60671201
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD60671201
WA
Other
Enumeration date
04/10/2014
Last updated
03/15/2024
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