Ide, Karin Misao

Ide, Karin Misao is an individual health care provider with primary practice located at 6100 Ne Fourth Plain Blvd , Vancouver WA 98661-6830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ide, Karin Misao can be contacted via phone (360) 891-7300.

Contact Information

Primary practice address
6100 Ne Fourth Plain Blvd Vancouver WA 98661-6830
Phone: (360) 891-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP30006367 Washington

Profile Details

NPI number 1770508152
LBN Legal business name Ide, Karin Misao
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770508152 NPPES
Washington MEDICAID 9643560

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