SearchWashington367500000X

Kenneth Cushman

NPI 1851562847 · on the registry since 2008

Practice

Address
514 Nw 49th St
Vancouver, WA 98663
Phone
(360) 936-8638

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
367500000X
367500000X
Licence states on file
GA, IA, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-13

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