Main Street Family Medicine, Pllc | |
6000 Ne 88th St Ste D102 Vancouver WA 98665-0982 | |
(360) 474-5905 | |
(360) 639-8017 |
Full Name | Main Street Family Medicine, Pllc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 6000 Ne 88th St Ste D102, Vancouver, Washington |
Authorized Official Name and Position | Haleigh Schwartz (OFFICE MANAGER) |
Authorized Official Contact | 3604745905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Main Street Family Medicine, Pllc 6000 Ne 88th St Ste D102 Vancouver WA 98665-0982 Ph: (360) 474-5905 | Main Street Family Medicine, Pllc 6000 Ne 88th St Ste D102 Vancouver WA 98665-0982 Ph: (360) 474-5905 |
NPI Number | 1023834439 |
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Provider Enumeration Date | 12/02/2024 |
Last Update Date | 12/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023834439 | NPI | - | NPPES |
1265473292 | Other | NPI | |
1346742954 | Other | NPI | |
1912432584 | Other | NPI | |
1821879024 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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