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Kathleen Ryan Ponsford, PA-C
Medical Physician Assistant in Vancouver, Washington
NPI 1053548669

Kathleen Ryan Ponsford is a Medical Physician Assistant based in Portland, WA and is specialized in Medical. Kathleen Ryan Ponsford practices in Vancouver, WA and has the professional credentials of PA-C. The NPI Number for Kathleen Ryan Ponsford is 1053548669 and holds a License No. PA60090604 (Washington).

The current practice location address for Kathleen Ryan Ponsford is 305 Se Chkalov Dr Ste 170, Vancouver, WA and can be reached out via phone at 360-787-7135 and via fax at 360-799-3913.

Location: 305 Se Chkalov Dr Ste 170, Vancouver, WA, 97208-3777
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Provider Profile Details
NPI Number
1053548669
Provider Name
Kathleen Ryan Ponsford
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
305 Se Chkalov Dr Ste 170, Vancouver, WA, 97208-3777
Phone Number
360-787-7135
Fax Number
360-799-3913
Provider Enumeration Date
06/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0252790 01 WA L & I
institution
Provider Business Practice Location Address Details
Address
305 Se Chkalov Dr Ste 170
City
State
Zip
98683
Phone Number
360-787-7135
Fax Number
360-799-3913
person
Provider Business Mailing Address Details
Address
305 Se Chkalov Dr Ste 170
City
State
Zip
98683
Phone Number
360-787-7135
Fax Number
360-799-3913
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA60090604 (Washington)
Definition
Definition to come...
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