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718 Ne 87th Ave Vancouver WA 98664-1970 | |
(360) 828-1346 | |
(360) 828-7627 |
Full Name | |
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Speciality | Clinic/Center |
Location | 718 Ne 87th Ave, Vancouver, Washington |
Authorized Official Name and Position | Adrienne B Copple (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 3608281346 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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718 Ne 87th Ave Vancouver WA 98664-1970 Ph: (360) 828-1346 | 718 Ne 87th Ave Vancouver WA 98664-1970 Ph: (360) 828-1346 |
NPI Number | 1942641584 |
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Provider Enumeration Date | 07/11/2013 |
Last Update Date | 07/11/2013 |
Medicare PECOS PAC ID | 3577793397 |
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Medicare Enrollment ID | O20140222000495 |
Identifier | Type | State | Issuer |
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1942641584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | MD00034870 (Washington) | Primary |
Provider Name | Philemon L Anderson |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1609836840 PECOS PAC ID: 7810890704 Enrollment ID: I20070219000738 |
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