| Vancouver Medical Weight Loss Clinic | |
|
10000 Ne 7th Ave Suite 110 Vancouver WA 98685-4599 | |
| (360) 571-7177 | |
| (360) 843-4085 |
| Full Name | Vancouver Medical Weight Loss Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10000 Ne 7th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Glenn Thomas Gerhard (PRESIDENT) |
| Authorized Official Contact | 3605717177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vancouver Medical Weight Loss Clinic 10000 Ne 7th Ave Suite 110 Vancouver WA 98685-4599 Ph: (360) 571-7177 | Vancouver Medical Weight Loss Clinic 10000 Ne 7th Ave Suite 110 Vancouver WA 98685-4599 Ph: (360) 571-7177 |
| NPI Number | 1497929152 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497929152 | NPI | - | NPPES |
| 1113943 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD00035811 (Washington) | Primary |
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