Healthcare Provider Details

I. General information

NPI: 1386728046
Provider Name (Legal Business Name): JANET LYNNE STRONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 06/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E 37TH ST
VANCOUVER WA
98663-2212
US

IV. Provider business mailing address

PO BOX 2339
VANCOUVER WA
98668-2339
US

V. Phone/Fax

Practice location:
  • Phone: 360-695-4464
  • Fax: 360-695-3292
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD00044695
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD00044695
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: