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Justin Lyle Sichula, MD
Student in an Organized Health Care Education/Training Program in Vancouver, Washington
NPI 1013666809

Justin Lyle Sichula is a Student in an Organized Health Care Education/Training Program based in Ellensburg, WA. Justin Lyle Sichula practices in Vancouver, WA and has the professional credentials of MD. The NPI Number for Justin Lyle Sichula is 1013666809 and holds a License No. (Washington).

The current practice location address for Justin Lyle Sichula is 2211 Ne 139Th St, Vancouver, WA and can be reached out via phone at 360-487-1168 and via fax at 503-413-7361.

Location: 2211 Ne 139Th St, Vancouver, WA, 98926-4002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013666809
Provider Name
Justin Lyle Sichula
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2211 Ne 139Th St, Vancouver, WA, 98926-4002
Phone Number
360-487-1168
Fax Number
503-413-7361
Provider Enumeration Date
03/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2211 Ne 139Th St
City
Vancouver
State
Washington
Zip
98686-2742
Phone Number
360-487-1168
Fax Number
503-413-7361
person
Provider Business Mailing Address Details
Address
2211 Ne 139Th St
City
Vancouver
State
Washington
Zip
98686-2742
Phone Number
360-487-1168
Fax Number
503-413-7361
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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