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Vitaliy Berezhnoy, PA-C
Medical Physician Assistant in Port Townsend, Washington
NPI 1235465345

Vitaliy Berezhnoy is a Medical Physician Assistant based in Shoreline, WA and is specialized in Medical. Vitaliy Berezhnoy practices in Port Townsend, WA and has the professional credentials of PA-C. The NPI Number for Vitaliy Berezhnoy is 1235465345 and holds a License No. PA60115672 (Washington).

The current practice location address for Vitaliy Berezhnoy is 834 Sheridan St, Port Townsend, WA and can be reached out via phone at 360-385-2200 and via fax at 360-344-0411.

Location: 834 Sheridan St, Port Townsend, WA, 98133-2749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235465345
Provider Name
Vitaliy Berezhnoy
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
834 Sheridan St, Port Townsend, WA, 98133-2749
Phone Number
360-385-2200
Fax Number
360-344-0411
Provider Enumeration Date
10/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
834 Sheridan St
City
Port Townsend
State
Washington
Zip
98368-2443
Phone Number
360-385-2200
Fax Number
360-344-0411
person
Provider Business Mailing Address Details
Address
834 Sheridan St
City
Port Townsend
State
Washington
Zip
98368-2443
Phone Number
360-385-2200
Fax Number
360-344-0411
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA60115672 (Washington)
Definition
Definition to come...
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