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Individual

MEGAN E EUSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
505 NE 87TH AVE, STE 120, VANCOUVER, WA 98664-1989
(360) 892-1635
(360) 892-3146
Mailing address
505 NE 87TH AVE, STE 120, VANCOUVER, WA 98664-1989
(360) 892-1635
(360) 892-3146

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD00033361
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8236648
WA
Enumeration date
01/24/2006
Last updated
07/10/2007
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