Organization
COLUMBIA UNITED PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN WHEELOCK (PRESIDENT/CEO)
(360) 449-8938
Entity
Organization
Contact information
Practice address
19120 SE 34TH ST, SUITE 201, VANCOUVER, WA 98683-1429
(360) 449-8861
(360) 449-8862
Mailing address
19120 SE 34TH ST, SUITE 201, VANCOUVER, WA 98683-1429
(360) 449-8861
(360) 449-8862
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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