Pacific Gastroenterology Pllc

LBN: Pacific Gastroenterology Pllc
Pacific Gastroenterology Pllc is an health care organization with primary practice located at 814 Ne 87Th Ave , Vancouver WA 98664-1915. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pacific Gastroenterology Pllc can be contacted via phone (360) 823-0880, or through Ferdows, Mehdi S via phone (360) 823-0880.

Contact Information

Primary practice address
814 Ne 87Th Ave Vancouver WA 98664-1915
Phone: (360) 823-0880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ferdows, Mehdi S Doctor of Medicine (MD)
Phone: (360) 823-0880

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD000411 Washington

Profile Details

NPI number 1275715526
LBN Legal business name Pacific Gastroenterology Pllc
DBA Doing business as
Authorized official Ferdows, Mehdi S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2007
Last updated Jan 2nd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275715526 NPPES
Washington MEDICAID 7134794

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