Organization · Type 2 NPI

Emergency Rooms, PS

General Practice Physician · Vancouver, WA

NPI number 1013040500 Active

Practice location

4421 NE St Johns Rd, Suite F
Vancouver, WA 98661-2573

Call (360) 695-9922 Map

Fax (360) 695-1310

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician 207PE0004XNone listed
Family Medicine Physician 207Q00000XNone listed
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

25 other providers at this address

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About NPI 1013040500

Emergency Rooms, PS's National Provider Identifier is 1013040500, issued on Mar 13, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Vancouver, WA. The record was last updated on Aug 6, 2009.