Active NPIIndividual provider

Dr. Martin N Bomalaski, MD

Physical Medicine & Rehabilitation in Vancouver, Washington

NPI Number1508109349
Practice location
200 NE Mother Joseph Pl Ste 100, Vancouver, WA 98664-3292
Fax
360-514-6809
Last updated
January 24, 2020

Dr. Martin N Bomalaski, MD is a Physical Medicine & Rehabilitation based in Vancouver, WA. Dr. Martin N Bomalaski, MD holds the professional credentials of MD. The NPI number for Dr. Martin N Bomalaski, MD is 1508109349 and holds license No. MD189020 (OR). The current practice location address is 200 NE Mother Joseph Pl Ste 100, Vancouver, WA 98664-3292 and the office can be reached by phone at 360-514-3142 and by fax at 360-514-6809. The NPI was assigned on March 29, 2013 and the record was last updated in NPPES on January 24, 2020.

●Provider Profile Details

NPI Number
1508109349
Provider Name
Martin Nicholas Bomalaski
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
No
Enumeration Date
March 29, 2013
Last Update Date
January 24, 2020
Certification Date
January 24, 2020
NPI Status
Active

◉Business Practice Location Address

Address
200 NE Mother Joseph Pl Ste 100
Vancouver, WA 98664-3292
ZIP
98664-3292
Country
US
Phone Number
360-514-3142
Fax Number
360-514-6809

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✉Business Mailing Address

Address
1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
City
Vancouver
State
WA
ZIP
98683-8004

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physical Medicine & Rehabilitation208100000XNoMD189020OR
Physical Medicine & Rehabilitation208100000XYesMD60739177WA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Martin N Bomalaski, MD?

The NPI number of Dr. Martin N Bomalaski, MD is 1508109349. It was assigned on March 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Martin N Bomalaski, MD?

Dr. Martin N Bomalaski, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X) and holds license No. MD189020 (OR).

Where does Dr. Martin N Bomalaski, MD practice?

The practice location is 200 NE Mother Joseph Pl Ste 100, Vancouver, WA 98664-3292. The office can be reached at 360-514-3142 (phone) or 360-514-6809 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508109349 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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