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Derrik White
NPI 1386310167 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3407 Ne 103rd Ave
Vancouver, WA 98662 - Phone
- (360) 553-6396
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-20
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