Search › Washington › 207RI0011X
Douglas Wysham, MD
NPI 1275526360 · on the registry since 2005
Practice
- Address
- 700 Ne 87th Ave
Vancouver, WA 98664 - Phone
- (360) 882-3662
- Organisation at this address
- Fred Meyer Stores Inc
The Vancouver Clinic Inc Ps
The Vancouver Clinic Inc Ps
The Vancouver Clinic Pharmacy
Oregon Health & Science UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 353
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207RC0000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-07
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