| Senior Connections | |
|
9340 Ne 76th St Vancouver WA 98662-3721 | |
| (360) 253-4912 | |
| (360) 253-5170 |
| Full Name | Senior Connections |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9340 Ne 76th St, Vancouver, Washington |
| Authorized Official Name and Position | David W Agnor (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3602534912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Connections 9340 Ne 76th St Vancouver WA 98662-3721 Ph: (360) 253-4912 | Senior Connections 9340 Ne 76th St Vancouver WA 98662-3721 Ph: (360) 253-4912 |
| NPI Number | 1639306582 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639306582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00001983 (Washington) | Primary |
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