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
Fax: (360) 256-2474
Website:
Authorized official contact:
Name: Hanks, Stephanie

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780755876 NPPES
Washington MEDICAID 7135486
Washington Other DF7194

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