BLUE PEARL VANCOUVER NPI 1043769334

NPI Information

  • NPI: 1043769334
  • Provider Name: BLUE PEARL VANCOUVER
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Former Legal Business Name: COLUMBIA RIVER VETERINARY SPECIALISTS
  • Address: 6607 NE 84TH ST
    SUITE 109
    VANCOUVER, WA
    ZIP 98665
  • Phone: (360) 694-3007

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NPI Details

BLUE PEARL VANCOUVER is a specialist in Vancouver, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BLUE PEARL VANCOUVER NPI is 1043769334. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Columbia River Veterinary Specialists.

The provider's business location address is:

6607 NE 84TH ST
SUITE 109
VANCOUVER, WA
ZIP 98665-018
Phone: (360) 694-3007
Fax: (360) 735-7420

The provider's authorized official is Lisa Heiting .
The authorized official title is Sr Financial Coordinator/systems Mn and has the following contact phone number (360) 694-3007.

The enumeration date for this NPI number is 9/27/2016 and was last updated on 9/27/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist602889432WASHINGTONYes

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: 11/21/2025

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