Organization
PNW ENT
Active
Other names
Anderson ENT
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE B COPPLE (CLINIC ADMINISTRATOR)
(360) 828-1346
Entity
Organization
Contact information
Practice address
718 NE 87TH AVE, VANCOUVER, WA 98664-1970
(360) 828-1346
(360) 828-7627
Mailing address
718 NE 87TH AVE, VANCOUVER, WA 98664-1970
(360) 828-1346
(360) 828-7627
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD00034870
WA
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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