Provider Demographics
NPI:1023878352
Name:BOB, ALIN (RN)
Entity type:Individual
Prefix:
First Name:ALIN
Middle Name:
Last Name:BOB
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 SE 146TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-8444
Mailing Address - Country:US
Mailing Address - Phone:503-913-8129
Mailing Address - Fax:
Practice Address - Street 1:2308 SE 146TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-8444
Practice Address - Country:US
Practice Address - Phone:503-913-8129
Practice Address - Fax:360-397-7604
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60578712163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse