Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | PY00000579 | WA |
NPI | 1336211275 |
---|---|
Provider Name | Dr. John A Turner |
First Address | Vancouver, WA 98665-7535 |
Second Address | Portland, OR 97202-9823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |