Susan Marie Warnke, PA-C
Physician Assistant in Vancouver, WA. Individual provider (NPI-1).
NPI number1528024353
StatusActive
Last updated in NPPESApr 20, 2022
Details
- NPI
- 1528024353
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Marie Warnke
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2006
- Certification date
- Apr 20, 2022
- Last updated
- Apr 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA60112503 | WA | Yes |
Other names
- Susan Marie Anderson (Former Name)
Practice location
315 Se Stonemill Dr Ste 228Vancouver, WA 98684-6987
Phone 360-687-6650
Mailing address
Po Box 3158Portland, OR 97208-3158
Other practice locations
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