# VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CLINIC, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vancouver Ear, Nose & Throat Head & Neck Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821289653
- **Authorized official:** MR. NATHAN J GEIGLE (PRACTICE MANAGER)
- **Authorized official phone:** (360) 449-6612

## Contact information

- **Practice address:** 14411 NE 20TH AVE, SUITE 101, VANCOUVER, WA 98686-6431
- **Practice address phone:** (360) 256-4425
- **Practice address fax:** (360) 260-7249
- **Mailing address:** 1405 SE 164TH AVE, SUITE 102, VANCOUVER, WA 98683-9644
- **Mailing address phone:** (360) 256-4425
- **Mailing address fax:** (360) 260-7249

## Taxonomy

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

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 08/07/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7092885 | — | WA |