Provider First Line Business Practice Location Address:
100 EAST 33RD STREET, SUITE 100
Provider Second Line Business Practice Location Address:
FAMILY MEDICINE - OBSTETRICS
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98663
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-514-7550
Provider Business Practice Location Address Fax Number:
360-514-7587
Provider Enumeration Date:
01/30/2009