Tms Services Of Vancouver | |
1499 Se Tech Center Pl Ste 190 Vancouver WA 98683-5529 | |
(360) 773-6340 | |
(360) 326-2606 |
Full Name | Tms Services Of Vancouver |
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Speciality | Psychiatry & Neurology |
Location | 1499 Se Tech Center Pl Ste 190, Vancouver, Washington |
Authorized Official Name and Position | Oleg N Zbirun (COO) |
Authorized Official Contact | 4255077848 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tms Services Of Vancouver 16420 Se Mcgillivray Blvd Ste 103-253 Vancouver WA 98683-3461 Ph: (425) 507-7848 | Tms Services Of Vancouver 1499 Se Tech Center Pl Ste 190 Vancouver WA 98683-5529 Ph: (360) 773-6340 |
NPI Number | 1235765280 |
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Provider Enumeration Date | 03/20/2020 |
Last Update Date | 06/07/2023 |
Certification Date | 06/07/2023 |
Medicare PECOS PAC ID | 5799148854 |
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Medicare Enrollment ID | O20230823001582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235765280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Secondary |
Provider Name | Elia R Gonzalez-rodriguez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609979558 PECOS PAC ID: 9537214374 Enrollment ID: I20110915000842 |
Provider Name | Vanessa Ngea |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114504768 PECOS PAC ID: 2961894878 Enrollment ID: I20240513000594 |
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