Individual
ELOWYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16219 SE 12TH ST STE 206, VANCOUVER, WA 98683-8906
(360) 839-4532
Mailing address
16219 SE 12TH ST STE 206, VANCOUVER, WA 98683-8906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61011604
WA
Other
Enumeration date
11/21/2017
Last updated
01/16/2020
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