Individual
JOSE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E 33RD ST STE 201A, VANCOUVER, WA 98663-2776
(360) 986-3500
(360) 768-5547
Mailing address
100 E 33RD ST STE 201A, VANCOUVER, WA 98663-2776
(360) 986-3500
(360) 768-5547
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
10/11/2021
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