| |
2402 Broadway St Vancouver WA 98663-3229 | |
(360) 989-0312 | |
(360) 567-0620 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 2402 Broadway St, Vancouver, Washington |
Authorized Official Name and Position | Nicole Lewis (MASSAGE THERARPIST) |
Authorized Official Contact | 3609890312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
7408 Ne 87th Cir Vancouver WA 98662-2827 Ph: (360) 989-0312 | 2402 Broadway St Vancouver WA 98663-3229 Ph: (360) 989-0312 |
NPI Number | 1942567193 |
---|---|
Provider Enumeration Date | 04/12/2012 |
Last Update Date | 06/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942567193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MA24601 (Washington) | Primary |
Advanced Gastroenterology, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3250 Se 164th Ave Ste 205, Vancouver, WA 98683 Phone: 360-946-4313 Fax: 360-576-1133 | |
Amg Of Washington, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 E 37th St, Vancouver, WA 98663 Phone: 888-506-1858 | |
Main Street Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Ne 88th St Ste D102, Vancouver, WA 98665 Phone: 360-474-5905 Fax: 360-639-8017 | |
Cascade Family Medicine, P.s. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 406 Se 131st Ave, Suite 203 B, Vancouver, WA 98683 Phone: 360-254-4402 Fax: 360-892-9241 |