SearchWashington1041C0700X

Mark Medina

NPI 1861833725 · on the registry since 2013 · sole proprietor

Practice

Address
1498 Se Tech Center Pl
Vancouver, WA 98683
Phone
(360) 567-2211
Organisation at this address
River Rock Church
Actriv Healthcare Inc.
Real Life Counseling Pllc
Ben Huckett Health Services Pc
Northwest Cancer Specialists Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
132

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-03

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