Individual
KRISTA LYNN DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA60137540
Contact information
Practice address
5500 NE 109TH CT, VANCOUVER, WA 98662-6176
(360) 828-5411
Mailing address
5500 NE 109TH CT, VANCOUVER, WA 98662-6176
(360) 828-5411
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60137540
WA
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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