| |
406 Se 131st Ave Ste 203 Vancouver WA 98683-4013 | |
(360) 433-9580 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 406 Se 131st Ave Ste 203, Vancouver, Washington |
Authorized Official Name and Position | Stephanie Renee Jones (OWNER) |
Authorized Official Contact | 3604339580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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406 Se 131st Ave Ste 203 Vancouver WA 98683-4013 Ph: (360) 433-9580 | 406 Se 131st Ave Ste 203 Vancouver WA 98683-4013 Ph: (360) 433-9580 |
NPI Number | 1801319827 |
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Provider Enumeration Date | 07/21/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 5597030734 |
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Medicare Enrollment ID | O20171013001933 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801319827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Stephanie R Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780822916 PECOS PAC ID: 7618027681 Enrollment ID: I20090615000073 |
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