Individual
KATHRINE I MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9513 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98662-6145
(360) 254-5477
(360) 254-4881
Mailing address
9513 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98662-6145
(360) 254-5477
(360) 254-4881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE6671
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831267673
NPI
WA
Enumeration date
08/05/2009
Last updated
09/07/2016
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