Organization
NW GERIATRIC CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY T ROSS MD (PRESIDENT)
(360) 693-7877
Entity
Organization
Contact information
Practice address
715 S ANDRESEN RD, VANCOUVER, WA 98661-7603
(360) 693-7877
(360) 750-6900
Mailing address
11500 NE 76TH ST STE A3, PMB 7, VANCOUVER, WA 98662-3901
(360) 254-3663
(360) 254-3719
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00019932
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R145738
MEDICARE OREGON PTAN
OR
Enumeration date
01/28/2009
Last updated
05/11/2009
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