Individual
DEREK J MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 NE 87TH AVE STE 110, VANCOUVER, WA 98664-4896
(360) 882-2778
(360) 604-1761
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD176909
OR
207Q00000X
Family Medicine Physician
Primary
MD60859652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062945
—
WA
Enumeration date
04/01/2012
Last updated
10/08/2018
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