VITALIY BEREZHNOY

PORT TOWNSEND, WA
NPI1235465345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA60115672)
Enumeration Date2009-10-23
Last Update Date2009-10-23
Business Address
-- VITALIY BEREZHNOY PA-C
834 SHERIDAN ST
PORT TOWNSEND, WA 98368-2443
Phone number: 360-385-2200
Mailing Address
-- VITALIY BEREZHNOY PA-C
20123 SUNNYSIDE DR N APT D301
SHORELINE, WA 98133-2749
Phone number: