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VANCOUVER NEUROLOGISTS PS NPI 1376503573


NPI Information

NPI: 1376503573
Provider Name: VANCOUVER NEUROLOGISTS PS
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 50D1090816

Address:
505 NE 87TH AVE
STE 460
VANCOUVER, WA
ZIP 98664
Phone: (360) 256-8865
Get Directions

VANCOUVER NEUROLOGISTS PS is a neurology psychiatry neurology in Vancouver, WA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. VANCOUVER NEUROLOGISTS PS NPI is 1376503573. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 NE 87TH AVE
STE 460
VANCOUVER, WA
ZIP 98664-989
Phone: (360) 256-8865
Fax: (360) 256-7127

The provider's authorized official is Karen Harrison .
The authorized official title is Administrator and has the following contact phone number (360) 256-8865.

The CLIA number assigned to this NPI record is 50D1090816 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 10/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17209901MEDICAIDWASHINGTON
27117021MEDICAIDWASHINGTON
3GAB36733MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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