# NORTHWEST PHYSICIAN CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083824320
- **Authorized official:** DR. LAWRENCE E. FOLTZ D.O. (PRESIDENT)
- **Authorized official phone:** (360) 944-6878

## Contact information

- **Practice address:** 406 SE 131ST AVE, SUITE 203 B, VANCOUVER, WA 98683-4004
- **Practice address phone:** (360) 254-4402
- **Practice address fax:** (360) 892-9241
- **Mailing address:** 406 SE 131ST AVE, SUITE 203 B, VANCOUVER, WA 98683-4004
- **Mailing address phone:** (360) 254-4402
- **Mailing address fax:** (360) 892-9241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020