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Organization
THE VANCOUVER CLINIC INC PS
Active
Organization
THE VANCOUVER CLINIC INC PS
Active
Parent organization
THE VANCOUVER CLINIC INC PS
Other names
THE VANCOUVER CLINIC, AMBULATORY SURGERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE VANCOUVER CLINIC INC PS
Authorized official
ALFRED SEEKAMP MD (CMO)
(360) 882-2778
Entity
Organization
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1771
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 397-3352
(360) 604-1771
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QE0800X
Endoscopy Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213062
L & I
WA
05
—
7091002
—
WA
Enumeration date
03/27/2008
Last updated
12/06/2022
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