4ducklings Inc. | |
6403 Ne 117th Ave Suite 109 Vancouver WA 98662 | |
(360) 609-1557 | |
Not Available |
Full Name | 4ducklings Inc. |
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Speciality | Clinic/center |
Location | 6403 Ne 117th Ave, Vancouver, Washington |
Authorized Official Name and Position | Blake E. Crofts (CEO) |
Authorized Official Contact | 1360250200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4ducklings Inc. 6403 Ne 117th Ave Suite 109 Vancouver WA 98662-5560 Ph: () - | 4ducklings Inc. 6403 Ne 117th Ave Suite 109 Vancouver WA 98662 Ph: (360) 609-1557 |
NPI Number | 1659795540 |
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Provider Enumeration Date | 02/12/2014 |
Last Update Date | 02/12/2014 |
Identifier | Type | State | Issuer |
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1659795540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 00033808 (Washington) | Primary |
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