SearchWashington101Y00000X

E Maynard, MS

NPI 1760632749 · on the registry since 2008

Practice

Address
10604 Ne Highway 99
Vancouver, WA 98686
Phone
(360) 644-1631
Organisation at this address
Catholic Community Services Of Western Washington
Inferred from a shared address, not stated in the registry.
Clinicians at this address
104

Additional practice sites

  • 5455 Almira Dr Ne, Bremerton, WA

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YM0800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-27

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