Cellutions Vancouver, Pllc | |
2621 Ne 134th St Ste 100 Vancouver WA 98686-3036 | |
(800) 280-0797 | |
(360) 450-4084 |
Full Name | Cellutions Vancouver, Pllc |
---|---|
Speciality | Clinic/center |
Location | 2621 Ne 134th St Ste 100, Vancouver, Washington |
Authorized Official Name and Position | Jeff Tunick (MANAGING MEMBER) |
Authorized Official Contact | 3604641492 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cellutions Vancouver, Pllc 2621 Ne 134th St Ste 100 Vancouver WA 98686-3036 Ph: (800) 280-0797 | Cellutions Vancouver, Pllc 2621 Ne 134th St Ste 100 Vancouver WA 98686-3036 Ph: (800) 280-0797 |
NPI Number | 1134616477 |
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Provider Enumeration Date | 04/20/2018 |
Last Update Date | 04/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134616477 | NPI | - | NPPES |
1578954657 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | AP60790564 (Washington) | Secondary |
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