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NPI #1871099382 in Vancouver, Washington

Provider Information

NPI Number
1871099382
Entity Type
Organization
Organization Name
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Primary Specialty
Case Management
Enumeration Date
Apr 3, 2018
Last Updated
Apr 3, 2018

Practice Location

Address
2306 NE ANDRESEN RD
ZIP Code
98661-7310
Phone
(360) 448-2121

Authorized Official

Name
MS. DIANE MCWITHEY
Title
EXECUTIVE DIRECTOR
Phone
(360) 952-8216

Specialties & Taxonomy Codes

Specialty
Case Management

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