Search › Washington › 164W00000X
Brent Debolt, LPN
NPI 1235434341 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2314 E 13th St
Vancouver, WA 98661 - Phone
- (503) 709-7122
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-20
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