Organization
PACIFIC GASTRO HEALTH PLLC
Active
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
Update your record
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