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6221 Ne Fourth Plain Blvd Apt 130 Vancouver WA 98661-7210 | |
(360) 831-0908 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, Washington |
Authorized Official Name and Position | Rogelio Riojas (CEO) |
Authorized Official Contact | 2067635277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 34703 Seattle WA 98124-1703 Ph: () - | 6221 Ne Fourth Plain Blvd Apt 130 Vancouver WA 98661-7210 Ph: (360) 831-0908 |
NPI Number | 1902414618 |
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Provider Enumeration Date | 07/20/2020 |
Last Update Date | 01/31/2025 |
Identifier | Type | State | Issuer |
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1902414618 | NPI | - | NPPES |
2163527 | Medicaid | WA |
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