Organization · Type 2 NPI

Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS

Ambulatory Surgical Clinic/Center · Vancouver, WA

NPI number 1821289653 Active

Practice location

14411 NE 20th Ave, Suite 101
Vancouver, WA 98686-6431

Fax (360) 260-7249

Mailing address

1405 SE 164th Ave, Suite 102
Vancouver, WA 98683-9644

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1821289653

Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS's National Provider Identifier is 1821289653, issued on Aug 7, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Vancouver, WA. The record was last updated on Aug 7, 2007.