Search › Washington › 101YA0400X
Corliss Wentworth, COUNSELOR
NPI 1669691176 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1601 E Fourth Plain Blvd # 101
Vancouver, WA 98661 - Phone
- (360) 397-8246
- Fax
- (360) 397-8450
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington