COLE SOUTHWORTH

VANCOUVER, WA
NPI1356720445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WA  OP60828140)
Enumeration Date2015-05-22
Last Update Date2018-08-06
Business Address
COLE SOUTHWORTH DO
501 SE 172ND AVE
VANCOUVER, WA 98684
Phone number: 360-882-2778
Mailing Address
COLE SOUTHWORTH DO
700 NE 87TH AVE
VANCOUVER, WA 98664-4896
Phone number: 360-882-2778