Shanda J Boardman

NPI #1073771879 in Vancouver, Washington

Provider Information

NPI Number: 1073771879
Entity Type: Individual
Name: Shanda J Boardman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: May 28, 2008
Last Updated: May 28, 2008

Practice Location

Address: 400 E 33RD ST
City: Vancouver
State: Washington
ZIP Code: 98663-2238
Phone: (360) 696-2561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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