SearchWashington225200000X

Michael Colburn, LPTA

NPI 1558630087 · on the registry since 2011 · sole proprietor

Practice

Address
3812 Ne 151st Ave
Vancouver, WA 98682
Phone
(360) 609-6124

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-29

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