Individual
YURIY V KNYSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
6700 NE 162ND AVE STE 415, VANCOUVER, WA 98682-3863
(360) 882-0767
Mailing address
6700 NE 162ND AVE, STE 611, VANCOUVER, WA 98682
(503) 544-8042
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017464
WA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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