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OPTIONS360 WOMEN'S CLINIC NPI 1720422512


NPI Information

NPI: 1720422512
Provider Name: OPTIONS360 WOMEN'S CLINIC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

CLIA Number: 50D1052326

Address:
221 NE 104TH AVE STE 209
VANCOUVER, WA
ZIP 98664
Phone: (360) 567-0285
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OPTIONS360 WOMEN'S CLINIC is an obstetrics obstetrics gynecology in Vancouver, WA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee OPTIONS360 WOMEN'S CLINIC NPI is 1720422512. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

221 NE 104TH AVE STE 209
VANCOUVER, WA
ZIP 98664-505
Phone: (360) 567-0285
Fax: (360) 567-2232

The provider's authorized official is Pamella J Marchand .
The authorized official title is Ceo and has the following contact phone number (360) 369-4576.

The CLIA number assigned to this NPI record is 50D1052326 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 7/14/2020.


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
1207VX0000XObstetrics & GynecologyObstetricsYes

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
12029258MEDICAIDWASHINGTON

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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