Pontious, Mckinzi M
Pontious, Mckinzi M is an individual health care provider with primary practice located at 2211 Ne 139Th St , Vancouver WA 98686-2742. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Pontious, Mckinzi M can be contacted via phone (360) 487-1777.Contact Information
Primary practice address
2211 Ne 139Th St
Vancouver WA 98686-2742
Phone: (360) 487-1777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
| NPI number | 1861990533 |
|---|---|
| LBN Legal business name | Pontious, Mckinzi M |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2018 |
| Last updated | Dec 2nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861990533 | NPPES |
| Washington | Other | OT60827942 | WASHINGTON STATE DEPT. OF HEALTH |
| Washington | Other | 396106 | WASHINGTON STATE DEPT. OF HEALTH |
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