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Vancouver Ent And Ent Of The Northwest Pllc
Clinic/Center in Vancouver, Washington
NPI 1861587719

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 1861587719 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, 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, VANCOUVER, WA - 98683-9644 (mailing address contact number: 360-256-4425).

Location: 14411 Ne 20Th Ave, Vancouver, WA, 98683-9644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861587719
Provider Name
Vancouver Ent And Ent Of The Northwest Pllc
Credential
Provider Entity Type
Organization
Address
14411 Ne 20Th Ave, Vancouver, WA, 98683-9644
Phone Number
360-256-4425
Fax Number
360-260-7249
Provider Enumeration Date
10/04/2006
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
institution
Provider Business Practice Location Address Details
Address
14411 Ne 20Th Ave
City
Vancouver
State
Washington
Zip
98686-6431
Phone Number
360-256-4425
Fax Number
360-260-7249
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
360-260-7249
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(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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