| Restored And Revived | |
|
9317 Ne Highway 99 Ste J Vancouver WA 98665-8900 | |
| (603) 773-4623 | |
| Not Available |
| Full Name | Restored And Revived |
|---|---|
| Speciality | Social Worker |
| Location | 9317 Ne Highway 99 Ste J, Vancouver, Washington |
| Authorized Official Name and Position | Ryanne Smith (INTERIM CLINICAL DIRECTOR) |
| Authorized Official Contact | 9162135624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restored And Revived 9317 Ne Highway 99 Ste J Vancouver WA 98665-8900 Ph: (603) 773-4623 | Restored And Revived 9317 Ne Highway 99 Ste J Vancouver WA 98665-8900 Ph: (603) 773-4623 |
| NPI Number | 1619856424 |
|---|---|
| Provider Enumeration Date | 08/27/2025 |
| Last Update Date | 09/01/2025 |
| Certification Date | 09/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619856424 | NPI | - | NPPES |
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