| |
2621 Ne 134th St Ste 140, Vancouver, WA 98686-3036 | |
(360) 504-0122 | |
(360) 859-1354 |
Full Name | |
---|---|
Type | Facility |
Speciality | Home Health |
Location | 2621 Ne 134th St Ste 140, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538778295 | NPI | - | NPPES |
IHS.FS.61097918 | Other | WA | STATE LICENSE |
1538778295 | Other | WA | NPI |
16-1096 | Other | OR | STATE LICENSE |
50-7133 | Other | WA | PTAN |
Mailing Address | Practice Location Address |
---|---|
4601 Ne 77th Ave Ste 300, Vancouver, WA 98662-6736 Ph: (360) 892-6628 | 2621 Ne 134th St Ste 140, Vancouver, WA 98686-3036 Ph: (360) 504-0122 |