Widman, Amanda
Widman, Amanda is an individual health care provider with primary practice located at 6700 Ne 162Nd Ave Ste 411 , Vancouver WA 98682-3863. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Widman, Amanda can be contacted via phone (509) 703-8880.Contact Information
Primary practice address
6700 Ne 162Nd Ave Ste 411
Vancouver WA 98682-3863
Phone: (509) 703-8880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2000021970 |
Profile Details
| NPI number | 1710361225 |
|---|---|
| LBN Legal business name | Widman, Amanda |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2015 |
| Last updated | Jul 14th, 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.
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