Organization
VICTORIA PAULUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DAWN PAULUS ARNP (OWNER)
(360) 571-2050
Entity
Organization
Contact information
Practice address
7600 NE 41ST ST STE 310, VANCOUVER, WA 98662-6791
(360) 571-2050
(360) 253-3196
Mailing address
7600 NE 41ST ST STE 310, VANCOUVER, WA 98662-6791
(360) 571-2050
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
AP30004268
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30004268
NURSING LICENSE #
WA
Enumeration date
04/12/2013
Last updated
04/12/2013
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