Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | |
14411 Ne 20th Ave Suite 101 Vancouver WA 98686-6431 | |
(360) 256-4425 | |
(360) 260-7249 |
Full Name | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps |
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Speciality | Clinic/center |
Location | 14411 Ne 20th Ave, Vancouver, Washington |
Authorized Official Name and Position | Nathan J Geigle (PRACTICE MANAGER) |
Authorized Official Contact | 3604496612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps 1405 Se 164th Ave Suite 102 Vancouver WA 98683-9644 Ph: (360) 256-4425 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps 14411 Ne 20th Ave Suite 101 Vancouver WA 98686-6431 Ph: (360) 256-4425 |
NPI Number | 1912198748 |
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Provider Enumeration Date | 08/07/2007 |
Last Update Date | 08/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912198748 | NPI | - | NPPES |
7068596 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Washington) | Primary |
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