Search › Washington › 101Y00000X
Jon Luckenbaugh
NPI 1396101838 · on the registry since 2016 · sole proprietor
Practice
- Address
- 7415 Ne 94th Ave
Vancouver, WA 98662 - Phone
- (360) 253-6019
- Fax
- (360) 253-2698
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-14
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