Healthcare Provider Details

I. General information

NPI: 1447194972
Provider Name (Legal Business Name): LYUBOV N TSARENKO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NE MOTHER JOSEPH PL STE 400
VANCOUVER WA
98664-3290
US

IV. Provider business mailing address

2312 NE 191ST AVE
VANCOUVER WA
98684-1816
US

V. Phone/Fax

Practice location:
  • Phone: 360-514-4444
  • Fax: 360-514-6530
Mailing address:
  • Phone: 360-619-8326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number70082052-NP
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number70082052
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: