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Vancouver Ent And Ent Of The Northwest Pllc
Clinic/Center in Vancouver, Washington
NPI 1780755876

Vancouver Ent And Ent Of The Northwest Pllc is a Clinic/Center based in Vancouver, WA. 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 1780755876 and holds a License No. 602 593 569 (Washington).

The current practice location address for Vancouver Ent And Ent Of The Northwest Pllc is 1405 Se 164Th Ave, Vancouver, WA and can be reached out via phone at 360-256-4425 and via fax at 360-256-2474.

Location: 1405 Se 164Th Ave, Vancouver, WA, 98683-9644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780755876
Provider Name
Vancouver Ent And Ent Of The Northwest Pllc
Credential
Provider Entity Type
Organization
Address
1405 Se 164Th Ave, Vancouver, WA, 98683-9644
Phone Number
360-256-4425
Fax Number
360-256-2474
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7135486 05 WA
DF7194 01 WA RAILROAD MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
1405 Se 164Th Ave
City
Vancouver
State
Washington
Zip
98683-9644
Phone Number
360-256-4425
Fax Number
360-256-2474
person
Provider Business Mailing Address Details
Address
1405 Se 164Th Ave
City
Vancouver
State
Washington
Zip
98683-9644
Phone Number
360-256-4425
Fax Number
360-256-2474
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
602 593 569 (Washington)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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