Creekside Medical, P.S.

LBN: Creekside Medical, P.S.
Creekside Medical, P.S. is an health care organization with primary practice located at 900 Ne 139Th St Ste 202, Vancouver WA 98685-2513. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Creekside Medical, P.S. can be contacted via phone (360) 566-9355, or through Davis, Carol via phone (360) 566-9355.

Contact Information

Primary practice address
900 Ne 139Th St Ste 202 Vancouver WA 98685-2513
Phone: (360) 566-9355
Fax: (360) 816-1327
Website:
Map and Directions
Authorized official contact:
Name: Davis, Carol
Phone: (360) 566-9355

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Washington

Profile Details

NPI number 1760529374
LBN Legal business name Creekside Medical, P.S.
DBA Doing business as
Authorized official Davis, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 23rd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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