Individual
KARANEH JAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16500 SE 15TH ST STE 180, VANCOUVER, WA 98683-9666
(360) 695-3369
Mailing address
2704 ORCHARD HILL LN, LAKE OSWEGO, OR 97035-1173
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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