VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC NPI 1639268469

NPI Information

NPI: 1639268469
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:
14411 NE 20TH AVE STE 101
VANCOUVER, WA
ZIP 98686
Phone: (360) 256-4425
Get Directions

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 1639268469. 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:

14411 NE 20TH AVE STE 101
VANCOUVER, WA
ZIP 98686-432
Phone: (360) 256-4425
Fax: (360) 260-7249

The provider's authorized official is Karen Kennedy .
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 10/12/2006 and was last updated on 10/29/2007.

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	261QA1903X	Clinic/Center	Ambulatory Surgical		WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8863729	MEDICARE PIN	WASHINGTON
2	8940474	OTHER	WASHINGTON	WA CRIME VICTIMS
3	7135502	MEDICAID	WASHINGTON
4	204729	OTHER	WASHINGTON	WA DEPT OF L&I

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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