NW OLIVE CLINIC, LLC
Managed Care Organizations at 37 St, Vancouver, WA

License number
Washington NT60548368
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: SABAH TARGHI N.D.
Title: OWNER
Phone: (360) 258-0627
Address
Address
302 E 37Th St, Vancouver, WA 98663
National Provider ID: 1801261847
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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