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VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC NPI 1861587719


NPI Information

NPI: 1861587719
Provider Name: VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC

Doing Business As: VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
14411 NE 20TH AVE
SUITE 101
VANCOUVER, WA
ZIP 98686
Phone: (360) 256-4425
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VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC is a clinic center in Vancouver, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC NPI is 1861587719. The provider is registered as an organization entity type.
The provider Is Doing Business As Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic.

The provider's business location address is:

14411 NE 20TH AVE
SUITE 101
VANCOUVER, WA
ZIP 98686-431
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 10/4/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterWASHINGTONYes

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
17135486MEDICAIDWASHINGTON
2DF7194OTHERWASHINGTONRAILROAD MEDICARE
38863952MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.