| 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 |
|---|---|
| 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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