ADVANCED ENDOSCOPY CENTER LLC NPI 1619108669

NPI Information

  • NPI: 1619108669
  • Provider Name: ADVANCED ENDOSCOPY CENTER, LLC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • CLIA Number: 50D2001043
  • Address: 2415 NE 134TH ST
    SUITE #205
    VANCOUVER, WA
    ZIP 98686
  • Phone: (360) 576-5060

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NPI Details

ADVANCED ENDOSCOPY CENTER, LLC is an endoscopy clinic center in Vancouver, WA. ADVANCED ENDOSCOPY CENTER, LLC NPI is 1619108669. The provider is registered as an organization entity type.

The provider's business location address is:

2415 NE 134TH ST
SUITE #205
VANCOUVER, WA
ZIP 98686-025
Phone: (360) 576-5060
Fax: (360) 576-1133

The provider's authorized official is Tammy T. Mcculler .
The authorized official title is Revenue Cycle and has the following contact phone number (503) 714-3035.

The CLIA number assigned to this NPI record is 50D2001043 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)

The enumeration date for this NPI number is 8/6/2009 and was last updated on 10/16/2025.

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
1261QE0800XClinic/CenterEndoscopyYes

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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