Proactive Orthopedic And Sports Physical Therapy Of East Vancouver Llc

LBN: Proactive Orthopedic And Sports Physical Therapy Of East Vancouver Llc
Proactive Orthopedic And Sports Physical Therapy Of East Vancouver Llc is an health care organization with primary practice located at 6700 Ne 162Nd Ave Suite 411, Vancouver WA 98682-3858. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Proactive Orthopedic And Sports Physical Therapy Of East Vancouver Llc can be contacted via phone (360) 567-0633, or through Krout, Larry Dean via phone (503) 740-8847.

Contact Information

Primary practice address
6700 Ne 162Nd Ave Suite 411 Vancouver WA 98682-3858
Fax: (360) 567-0635
Website:
Authorized official contact:
Name: Krout, Larry Dean

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1053326561
LBN Legal business name Proactive Orthopedic And Sports Physical Therapy Of East Vancouver Llc
DBA Doing business as
Authorized official Krout, Larry Dean
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 25th, 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 1053326561 NPPES
Washington MEDICAID 7136179

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