IndividualActive
J Van Etten
NPI 1114421344 · Emergency Medical Services (Emergency Medicine) Physician · Cleveland, OH
Provider details
- NPI number
- 1114421344
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MD61136032 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone: (216) 778-4486
Approximate (ZIP-level) locationGet directions
Mailing address
3640 Ne Sitka Dr
Camas, WA 98607-7473
Additional practice locations (1)
- 400 Ne Mother Joseph PlVancouver, WA 98664-3200Phone: (360) 514-2142
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2021-12-21
- Certified
- 2021-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.