Maya Mersal
Specialist in Vancouver, WA. Individual provider (NPI-1).
NPI number1669994166
StatusActive
Last updated in NPPESNov 19, 2018
Details
- NPI
- 1669994166
- Entity type
- Individual (NPI-1)
- Name
- Maya Mersal
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2017
- Last updated
- Nov 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
316 Se 123rd Ave Ste A67Vancouver, WA 98683-4056
Phone 503-702-0178
Mailing address
3011 Se 142nd PlPortland, OR 97236-2612
Phone 503-702-0178
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