| Mcloughlin Family Practice Group | |
|
16811 Se Mcgillivray Blvd Vancouver WA 98683-0400 | |
| (360) 750-3220 | |
| (360) 735-3400 |
| Full Name | Mcloughlin Family Practice Group |
|---|---|
| Speciality | Physician Assistant |
| Location | 16811 Se Mcgillivray Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Mark Magistrale (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3607503220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcloughlin Family Practice Group 16811 Se Mcgillivray Blvd Vancouver WA 98683-0400 Ph: () - | Mcloughlin Family Practice Group 16811 Se Mcgillivray Blvd Vancouver WA 98683-0400 Ph: (360) 750-3220 |
| NPI Number | 1336167246 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336167246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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