# THE WOMENS CLINIC OF VANCOUVER PS

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

## Provider details

- **NPI number:** 1962563718
- **Authorized official:** KATHY C VIRTUE (MANAGER)
- **Authorized official phone:** (360) 256-4060

## Contact information

- **Practice address:** 2101 NE 139TH ST, SUITE 350, VANCOUVER, WA 98686-2309
- **Practice address phone:** (360) 256-4060
- **Practice address fax:** (360) 256-0103
- **Mailing address:** 2101 NE 139TH ST, SUITE 350, VANCOUVER, WA 98686-2309
- **Mailing address phone:** (360) 256-4060
- **Mailing address fax:** (360) 256-0103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 04/02/2018