Organization
PACIFIC GASTRO HEALTH PLLC
Active
Other names
Pacific Gastroenterology Office
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM FERDOWS (OFFICE MANAGER)
(360) 823-0880
Entity
Organization
Contact information
Practice address
8506 E MILL PLAIN BLVD STE B, VANCOUVER, WA 98664-2021
(360) 823-0880
(360) 823-0883
Mailing address
PO BOX 873787, VANCOUVER, WA 98687-3787
(360) 823-0880
(360) 823-0883
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518960616
NPI
WA
Enumeration date
05/22/2024
Last updated
05/30/2025
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