SearchWashington101Y00000X

Vanessa Gavino

NPI 1396494084 · on the registry since 2022

Practice

Address
1116 14th Ave
Longview, WA 98632
Phone
(360) 261-6930
Clinicians at this address
13

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
175T00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-24

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