NPI: 1265527162
Provider Name: VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC
Doing Business As: VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
Address:
1405 SE 164TH AVE STE 102
VANCOUVER, WA
ZIP 98683
Phone: (360) 256-4425
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VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC is an ambulatory surgical clinic center in Vancouver, WA. VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC NPI is 1265527162. The provider is registered as an organization entity type.
The provider Is Doing Business As Vancouver Ear, Nose & Throat Head & Neck Surgery Center.
The provider's business location address is:
1405 SE 164TH AVE STE 102
VANCOUVER, WA
ZIP 98683-644
Phone: (360) 256-4425
Fax: (360) 260-7249
The provider's authorized official is Nathan J Geigle .
The authorized official title is Practice Manager and has the following contact phone number (360) 449-6612.
The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/23/2007.