Whalio Doctors

NPI 1083793905

Michael Dennis Domash, MD

Practitioner Psychiatry Physician Vancouver, WA

Practice location

Address
2215 Broadway St, Vancouver, WA 98663-3226
Phone
(360) 906-7156
Fax
(360) 696-3658

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence MD00017785 (WA)

Registry record

NPI
1083793905
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Nov 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.