Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic
LBN: Vancouver Ent And Ent Of The Northwest Pllc
Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic is an health care organization with primary practice located at 1405 Se 164Th Ave Suite 102, Vancouver WA 98683-9644. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Vancouver Ent And Ent Of The Northwest Pllc can be contacted via phone (360) 256-4425, or through Hanks, Stephanie via phone (360) 256-4425.
Contact Information
Primary practice address
1405 Se 164Th Ave Suite 102
Vancouver WA 98683-9644
Phone: (360) 256-4425
Fax: (360) 256-2474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 602 593 569 | Washington |
Profile Details
| NPI number | 1780755876 |
|---|---|
| LBN Legal business name | Vancouver Ent And Ent Of The Northwest Pllc |
| DBA Doing business as | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic |
| Authorized official | Hanks, Stephanie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | May 28th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780755876 | NPPES |
| Washington | MEDICAID | 7135486 | |
| Washington | Other | DF7194 |
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Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps
1405 Se 164Th Ave Suite 102, Vancouver WA 98683-9644