Individual
MARK A BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3252 NE 3RD AVE STE 2, CAMAS, WA 98607-2448
(360) 835-7427
Mailing address
806 W 16TH ST APT B, VANCOUVER, WA 98660-2735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161319332
WA
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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