PACIFIC CLINICAL SERVICES PLLC NPI 1124787635

NPI Information

NPI: 1124787635
Provider Name: PACIFIC CLINICAL SERVICES PLLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 50D2255705

Address:
3801 MAIN ST STE A
VANCOUVER, WA
ZIP 98663
Phone: (360) 787-4777
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PACIFIC CLINICAL SERVICES PLLC is a health service clinic center in Vancouver, WA. PACIFIC CLINICAL SERVICES PLLC NPI is 1124787635. The provider is registered as an organization entity type.

The provider's business location address is:

3801 MAIN ST STE A
VANCOUVER, WA
ZIP 98663-258
Phone: (360) 787-4777
Fax: (360) 857-0500

The provider's authorized official is Janet Coleman .
The authorized official title is Pharmacist / Member and has the following contact phone number (360) 787-4777.

The CLIA number assigned to this NPI record is 50D2255705 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2021 and was last updated on 12/12/2021.

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
1	261Q00000X	Clinic/Center				No
2	261QH0100X	Clinic/Center	Health Service			Yes

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

NPI Synchronization or Removal

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