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5411 Ne 107th Ave Ste 101 Vancouver WA 98662-6347 | |
(360) 828-7871 | |
Not Available |
Full Name | |
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Speciality | Counselor |
Location | 5411 Ne 107th Ave Ste 101, Vancouver, Washington |
Authorized Official Name and Position | Ramona J Robinson (CASE WORKER) |
Authorized Official Contact | 3609366207 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2989 Vancouver WA 98668-2989 Ph: (360) 362-9014 | 5411 Ne 107th Ave Ste 101 Vancouver WA 98662-6347 Ph: (360) 828-7871 |
NPI Number | 1538630850 |
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Provider Enumeration Date | 12/16/2018 |
Last Update Date | 02/06/2025 |
Certification Date | 02/06/2025 |
Medicare PECOS PAC ID | 8628511102 |
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Medicare Enrollment ID | O20240625002934 |
Identifier | Type | State | Issuer |
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1538630850 | NPI | - | NPPES |
Provider Name | Fiamma Lucio |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942343231 PECOS PAC ID: 5395105308 Enrollment ID: I20230912001400 |
Provider Name | Amelia Adkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669057741 PECOS PAC ID: 0446793020 Enrollment ID: I20240624004228 |
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