Provider First Line Business Practice Location Address:
ELSON S. FLOYD COLLEGE OF MEDICINE 805 BROADWAY STREET
Provider Second Line Business Practice Location Address:
SUITE 315
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-583-3675
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/11/2026