Organization
AGING RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL HASKETT (PRESIDENT)
(360) 574-5293
Entity
Organization
Contact information
Practice address
7710 NE VANCOUVER MALL DR STE C, VANCOUVER, WA 98662-6485
(360) 574-5293
(360) 574-7824
Mailing address
7710 NE VANCOUVER MALL DR STE C, VANCOUVER, WA 98662-6485
(360) 574-5293
(360) 574-7824
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
602-412-767
WA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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