Organization · Type 2 NPI

Victory Spine and Sport PLLC

Clinic/Center · Vancouver, WA

NPI number 1780285510 Active

Practice location

16508 SE 24th St Ste 203
Vancouver, WA 98683-4321

Call (360) 818-4626 Map

Fax (360) 208-0293

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1780285510

Victory Spine and Sport PLLC's National Provider Identifier is 1780285510, issued on Nov 6, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Vancouver, WA. The record was last updated on Dec 2, 2021.