| Nw Geriatric Consultants Inc | |
|
715 S Andresen Rd Vancouver WA 98661-7603 | |
| (360) 693-7877 | |
| (360) 750-6900 |
| Full Name | Nw Geriatric Consultants Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 715 S Andresen Rd, Vancouver, Washington |
| Authorized Official Name and Position | Timothy T Ross (PRESIDENT) |
| Authorized Official Contact | 3606937877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Geriatric Consultants Inc 11500 Ne 76th St Ste A3 Pmb 7 Vancouver WA 98662-3901 Ph: (360) 254-3663 | Nw Geriatric Consultants Inc 715 S Andresen Rd Vancouver WA 98661-7603 Ph: (360) 693-7877 |
| NPI Number | 1194963249 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 05/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194963249 | NPI | - | NPPES |
| R145738 | Other | OR | MEDICARE OREGON PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00019932 (Washington) | Primary |
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