Vincent John Straube, is a
Peer Specialist based in Longview, Washington. Vincent John Straube is licensed to practice in Washington (license number CG60716189) and his current practice location is
748 14th Avenue, Longview, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 200-5419.
NPI number for Vincent John Straube is 1891074076 and his current mailing address is Po Box 2394, Longview, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891074076.
Healthcare Provider's Profile
Full Name | Vincent John Straube |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 748 14th Avenue, Longview, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891074076
- Provider Enumeration Date: 08/05/2011
- Last Update Date: 10/29/2020
Medical Identifiers
Medical identifiers for Vincent John Straube such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891074076 | NPI | - | NPPES |
2136686 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 60716189 (Washington) | Secondary |
175T00000X | Peer Specialist | CG60716189 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vincent John Straube is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Vincent John Straube, Po Box 2394, Longview, WA 98632 Ph: (360) 200-5419 | Vincent John Straube, 748 14th Avenue, Longview, WA 98632 Ph: (360) 200-5419 |
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