NPI: 1558552380
Provider Name: VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CLINIC, PS
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
SUITE 102
VANCOUVER, WA
ZIP 98683
Phone: (360) 256-4425
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VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CLINIC, PS is an ambulatory surgical clinic center in Vancouver, WA. VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CLINIC, PS NPI is 1558552380. 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
SUITE 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 8/7/2007 and was last updated on 8/7/2007.