NPI 1346654050
Samantha Josefine Moana Brodehl
Practice location
- Address
- 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3753
- Phone
- (360) 696-4061
- Mailing address
- 217 NE 68th St, Vancouver, WA 98665-8623
Registered specialties
Military General Acute Care Hospital
Primary
Registry record
- NPI
- 1346654050
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jun 2014
- Record last updated
- 20 Jun 2014
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.