PARK PLACE MEDICAL CENTER NPI 1780751818

NPI Information

NPI: 1780751818
Provider Name: PARK PLACE MEDICAL CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
13115 NE 4TH ST
SUITE 230
VANCOUVER, WA
ZIP 98684
Phone: (360) 828-8008
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PARK PLACE MEDICAL CENTER is a primary care clinic center in Vancouver, WA. PARK PLACE MEDICAL CENTER NPI is 1780751818. The provider is registered as an organization entity type.

The provider's business location address is:

13115 NE 4TH ST
SUITE 230
VANCOUVER, WA
ZIP 98684-957
Phone: (360) 828-8008
Fax: (360) 326-1609

The provider's authorized official is Peter James Bessas .
The authorized official title is Owner and has the following contact phone number (360) 828-8008.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/18/2015.

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	261QP2300X	Clinic/Center	Primary Care	MD00041827	WASHINGTON	Yes

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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