Organization
COLUMBIA SURGICAL SPECIALISTS, PLLC
Active
Other names
Columbia Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAUNCEY THEODORE GRIGGS M.D. (CO-MANAGER)
(360) 254-9991
Entity
Organization
Contact information
Practice address
8614 E MILL PLAIN BLVD, SUITE 201, VANCOUVER, WA 98664-2059
(360) 254-9991
(360) 254-9997
Mailing address
8614 E MILL PLAIN BLVD, SUITE 201, VANCOUVER, WA 98664-2059
(360) 254-9991
(360) 254-9997
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7119373
—
WA
01
—
715606
LABOR AND INDUSTRY GROUP
WA
01
—
DA6965
RAILROAD MEDICARE
WA
Enumeration date
12/28/2006
Last updated
01/18/2008
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