163WC0200X
Vancouver, WA
Specialty
163WC0200X
Credential
CRNA
NPI
1942411848
2205 Ne 129th St., Vancouver, WA 98686
(360) 694-2544Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 163wc0200x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 163WC0200X