institution
Vancouver Ent And Ent Of The Northwest Pllc
Ambulatory Surgical Clinic/Center in Vancouver, Washington
NPI 1639268469

Vancouver Ent And Ent Of The Northwest Pllc is an Ambulatory Surgical Clinic/Center based in Vancouver, WA and is specialized in Ambulatory Surgical. Vancouver Ent And Ent Of The Northwest Pllc practices in Vancouver, WA. The NPI Number for Vancouver Ent And Ent Of The Northwest Pllc is 1639268469 and holds a License No. (Washington).

The current practice location address for Vancouver Ent And Ent Of The Northwest Pllc is 14411 Ne 20Th Ave Ste 101, Vancouver, WA and can be reached out via phone at 360-256-4425 and via fax at 360-260-7249. You can also correspond with Vancouver Ent And Ent Of The Northwest Pllc through the mailing address at 1405 SE 164TH AVE STE 102, VANCOUVER, WA - 98683-9644 (mailing address contact number: 360-256-4425).

Location: 14411 Ne 20Th Ave Ste 101, Vancouver, WA, 98683-9644
institution
Provider Profile Details
NPI Number
1639268469
Provider Name
Vancouver Ent And Ent Of The Northwest Pllc
Credential
Provider Entity Type
Organization
Address
14411 Ne 20Th Ave Ste 101, Vancouver, WA, 98683-9644
Phone Number
360-256-4425
Fax Number
360-260-7249
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7135502 05 WA
204729 01 WA WA DEPT OF L&I
8940474 01 WA WA CRIME VICTIMS
institution
Provider Business Practice Location Address Details
Address
14411 Ne 20Th Ave Ste 101
City
State
Zip
98686-6432
Phone Number
360-256-4425
Fax Number
360-260-7249
person
Provider Business Mailing Address Details
Address
14411 Ne 20Th Ave Ste 101
City
State
Zip
98686-6432
Phone Number
360-256-4425
Fax Number
360-260-7249
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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