| Legacy Salmon Creek Hospital Pbb | |
|
2211 Ne 139th St Vancouver WA 98686-2742 | |
| (360) 487-1000 | |
| (360) 487-1199 |
| Full Name | Legacy Salmon Creek Hospital Pbb |
|---|---|
| Speciality | Clinic/center |
| Location | 2211 Ne 139th St, Vancouver, Washington |
| Authorized Official Name and Position | Scott Johnson (VP FINANCE AND INTERIM CFO) |
| Authorized Official Contact | 5034155730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Salmon Creek Hospital Pbb Po Box 2077 Portland OR 97208-2077 Ph: (503) 413-3958 | Legacy Salmon Creek Hospital Pbb 2211 Ne 139th St Vancouver WA 98686-2742 Ph: (360) 487-1000 |
| NPI Number | 1982995957 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982995957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
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