Mah, Theresa
Mah, Theresa is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mah, Theresa can be contacted via phone (360) 254-1240.Contact Information
Primary practice address
700 Ne 87Th Ave
Vancouver WA 98664-1913
Phone: (360) 254-1240
Fax: (360) 397-3128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OP00002137 | Washington |
Profile Details
| NPI number | 1700991148 |
|---|---|
| LBN Legal business name | Mah, Theresa |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Nov 23rd, 2007 - about 17 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 | 1700991148 | NPPES |
| Washington | MEDICAID | 8462038 |
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