| Trisha May Llc | |
|
14306 Ne 101st Way Vancouver WA 98682-1877 | |
| (208) 283-2193 | |
| Not Available |
| Full Name | Trisha May Llc |
|---|---|
| Speciality | Home Health |
| Location | 14306 Ne 101st Way, Vancouver, Washington |
| Authorized Official Name and Position | Treshia Mae Thueson (OWNER) |
| Authorized Official Contact | 2082832193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trisha May Llc 14306 Ne 101st Way Vancouver WA 98682-1877 Ph: (208) 283-2193 | Trisha May Llc 14306 Ne 101st Way Vancouver WA 98682-1877 Ph: (208) 283-2193 |
| NPI Number | 1487256004 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487256004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
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