Provider Demographics
NPI:1376729566
Name:STRICKLAND, AUBRIE NYCOLE (LMP)
Entity Type:Individual
Prefix:MRS
First Name:AUBRIE
Middle Name:NYCOLE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11815 NE HIGHWAY 99 STE A
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-4008
Mailing Address - Country:US
Mailing Address - Phone:360-696-4405
Mailing Address - Fax:360-696-0582
Practice Address - Street 1:11815 NE HIGHWAY 99 STE A
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-4008
Practice Address - Country:US
Practice Address - Phone:360-696-4405
Practice Address - Fax:360-696-0582
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022018208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA00022018OtherWA STATE