|
| |
|
700 Ne 87th Ave Suite 110 Vancouver WA 98664-1913 | |
| (360) 882-2778 | |
| (360) 604-1720 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 700 Ne 87th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Joseph (joe) Robertson (PRESIDENT) |
| Authorized Official Contact | 5034947861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 Ph: (503) 494-8411 | 700 Ne 87th Ave Suite 110 Vancouver WA 98664-1913 Ph: (360) 882-2778 |
| NPI Number | 1003278920 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003278920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 14-1008 (Oregon) | 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 |