SearchWashington101YA0400X

Jacob Surgnier

NPI 1992512388 · on the registry since 2024

Practice

Address
6926 Ne Fourth Plain Blvd
Vancouver, WA 98661
Phone
(360) 993-3000
Organisation at this address
Hi School Pharmacy Inc
Columbia River Mental Health Services
Columbia River Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
536

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-18

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