| Victoria Paulus, Llc | |
|
7600 Ne 41st St Ste 310 Vancouver WA 98662-6791 | |
| (360) 571-2050 | |
| (360) 253-3196 |
| Full Name | Victoria Paulus, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7600 Ne 41st St Ste 310, Vancouver, Washington |
| Authorized Official Name and Position | Victoria Dawn Paulus (OWNER) |
| Authorized Official Contact | 3605712050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Paulus, Llc 7600 Ne 41st St Ste 310 Vancouver WA 98662-6791 Ph: (360) 571-2050 | Victoria Paulus, Llc 7600 Ne 41st St Ste 310 Vancouver WA 98662-6791 Ph: (360) 571-2050 |
| NPI Number | 1972946598 |
|---|---|
| Provider Enumeration Date | 04/12/2013 |
| Last Update Date | 04/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972946598 | NPI | - | NPPES |
| AP30004268 | Other | WA | NURSING LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | AP30004268 (Washington) | Primary |
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