Individual
KELLI KRISTINE COLE-VADJIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3301 SQUALICUM PKWY, BELLINGHAM, WA 98225-1919
(360) 788-8222
(360) 788-7759
Mailing address
1115 SE 164TH AVE, DEPT 358, VANCOUVER, WA 98683-9324
(360) 788-8222
(360) 788-7759
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8469983
—
WA
Enumeration date
03/24/2006
Last updated
06/11/2015
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