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Search › Washington › 101YM0800X

Trista Breitenbauch, SUDP

NPI 1124576418 · on the registry since 2016

Practice

Address
1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 98661
Phone
(360) 605-7628
Organisation at this address
Portland Vamc
Lifeline Connections
Portland Va Medical Center
Clark County Current Expense
Community Services Northwest
Inferred from a shared address, not stated in the registry.
Clinicians at this address
367

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington