Organization
FISHERS LANDING URGENT & FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L KING (OWNER)
(360) 281-7399
Entity
Organization
Contact information
Practice address
3200 SE 164TH AVE, SUITE 101, VANCOUVER, WA 98683
(360) 882-6997
(360) 882-4132
Mailing address
PO BOX 873236, VANCOUVER, WA 98687
(360) 882-6997
(360) 882-4132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7115348
—
WA
Enumeration date
07/01/2006
Last updated
09/01/2010
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