MARK VANDERVORT

BELLINGHAM, WA
NPI1124214358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  60055369)
Enumeration Date2007-09-21
Last Update Date2009-10-21
Business Address
-- MARK VANDERVORT PA-C
4280 MERIDIAN ST STE 120
BELLINGHAM, WA 98226-6464
Phone number: 360-734-4300
Mailing Address
-- MARK VANDERVORT PA-C
4280 MERIDIAN ST STE 120
BELLINGHAM, WA 98226-6464
Phone number: 360-734-4300
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