ADVANCED GASTROENTEROLOGY NPI 1962706655

NPI Information

NPI: 1962706655
Provider Name: ADVANCED GASTROENTEROLOGY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2415 NE 134TH ST
SUITE 205
VANCOUVER, WA
ZIP 98686
Phone: (360) 576-5060
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ADVANCED GASTROENTEROLOGY is an ambulatory surgical clinic center in Vancouver, WA. ADVANCED GASTROENTEROLOGY NPI is 1962706655. 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 Son T Do .
The authorized official title is Owner and has the following contact phone number (360) 576-5060.

The enumeration date for this NPI number is 1/10/2011 and was last updated on 1/10/2011.

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	50-C0001292	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	G8879080	MEDICARE PIN

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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