Dervan, Celia Katherine
Dervan, Celia Katherine is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Dervan, Celia Katherine can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
700 Ne 87Th Ave
Vancouver WA 98664-1913
Phone: (360) 882-2778
Fax: (360) 604-1753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD60076609 | Washington |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | MD60076609 | Washington |
Profile Details
| NPI number | 1902042187 |
|---|---|
| LBN Legal business name | Dervan, Celia Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2008 |
| Last updated | Sep 28th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902042187 | NPPES |
| Washington | MEDICAID | 8547234 |
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