Individual provider · Type 1 NPI

Mary Catherine Phelan, LMP

Specialist · Vancouver, WA

NPI number 1164660627 Active

Practice location

16500 SE 15th St, Suite 160
Vancouver, WA 98683-9665

Call (360) 718-7944 Map

Fax (360) 718-7931

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00024639 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1164660627

Mary Catherine Phelan, LMP's National Provider Identifier is 1164660627, issued on Jan 21, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vancouver, WA. The record was last updated on Jan 21, 2009.