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12607 Se Mill Plain Blvd Cascade Park Medical Office Vancouver WA 98684-6055 | |
| (800) 813-2000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 12607 Se Mill Plain Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12607 Se Mill Plain Blvd Cascade Park Medical Office Vancouver WA 98684-6055 Ph: (800) 813-2000 | 12607 Se Mill Plain Blvd Cascade Park Medical Office Vancouver WA 98684-6055 Ph: (800) 813-2000 |
| NPI Number | 1053563015 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053563015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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