Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | MD00021818 | WA |
NPI | 1164492435 |
---|---|
Provider Name | Sharon A Bucher |
First Address | Vancouver, WA 98664-1989 |
Second Address | Vancouver, WA 98664-1989 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 10/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8620007 | (05) | WA |