Mill Plain One Specialty Office | |
203 Se Park Plaza Dr Suite 140 Vancouver WA 98684-5886 | |
(360) 449-7002 | |
Not Available |
Full Name | Mill Plain One Specialty Office |
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Speciality | Clinic/center - Multi-specialty |
Location | 203 Se Park Plaza Dr, Vancouver, Washington |
Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
Authorized Official Contact | 5038132440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mill Plain One Specialty Office 500 Ne Multnomah St Portland OR 97232-2023 Ph: (503) 813-4939 | Mill Plain One Specialty Office 203 Se Park Plaza Dr Suite 140 Vancouver WA 98684-5886 Ph: (360) 449-7002 |
NPI Number | 1841441417 |
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Provider Enumeration Date | 10/01/2008 |
Last Update Date | 06/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841441417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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