# PACIFIC GASTROENTEROLOGY PLLC

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

## Provider details

- **NPI number:** 1588029870
- **Authorized official:** DR. MEHDI FERDOWS (MEDICAL DIRECTOR)
- **Authorized official phone:** (360) 823-0880

## Contact information

- **Practice address:** 8506 E MILL PLAIN BLVD, SUITE C, VANCOUVER, WA 98664-2011
- **Practice address phone:** (360) 823-0880
- **Mailing address:** 8506 E MILL PLAIN BLVD, SUITE C, VANCOUVER, WA 98664-2011
- **Mailing address phone:** (360) 823-0880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 12/31/2015