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VANCOUVER CLINIC INC NPI 1760658736


NPI Information

NPI: 1760658736
Provider Name: VANCOUVER CLINIC INC

Other Name: ROSE QUARTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 50D0637772

Address:
ONE CENTER COURT
SUITE 110
PORTLAND, OR
ZIP 97227
Phone: (503) 732-6863
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VANCOUVER CLINIC INC is an internal medicine in Portland, OR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. VANCOUVER CLINIC INC NPI is 1760658736. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Rose Quarter.

The provider's business location address is:

ONE CENTER COURT
SUITE 110
PORTLAND, OR
ZIP 97227
Phone: (503) 732-6863

The provider's authorized official is Sharon Crowell .
The authorized official title is Chairman Of The Board and has the following contact phone number (360) 397-1500.

The CLIA number assigned to this NPI record is 50D0637772 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 2/2/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R108364MEDICARE PINWASHINGTON

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

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