Family Physicians Group Ps | |
16811 Se Mcgillivray Blvd Vancouver WA 98683-0400 | |
(360) 735-8100 | |
(360) 735-3400 |
Full Name | Family Physicians Group Ps |
---|---|
Speciality | Family Medicine |
Location | 16811 Se Mcgillivray Blvd, Vancouver, Washington |
Authorized Official Name and Position | Kurt Litvin (ADMINISTRATOR) |
Authorized Official Contact | 3607358100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Physicians Group Ps 312 Se Stone Mill Dr Suite 160 Vancouver WA 98684-3545 Ph: (360) 735-8100 | Family Physicians Group Ps 16811 Se Mcgillivray Blvd Vancouver WA 98683-0400 Ph: (360) 735-8100 |
NPI Number | 1225054141 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225054141 | NPI | - | NPPES |
7984800 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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