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1053548669
KATHLEEN RYAN PONSFORD
VANCOUVER, WA
NPI
1053548669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA60090604)
Enumeration Date
2009-06-22
Last Update Date
2018-06-13
Business Address
KATHLEEN RYAN PONSFORD PA-C
305 SE CHKALOV DR STE 170
VANCOUVER, WA 98683
Phone number: 360-787-7135
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Mailing Address
KATHLEEN RYAN PONSFORD PA-C
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number: 503-413-3900
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