Organization
SOUTHWEST WASHINGTON THORACIC AND VASCULAR SURGERY PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT C LITVIN (EXEC. DIRECTOR)
(360) 735-8100
Entity
Organization
Contact information
Practice address
200 NE MOTHER JOSEPH PL, SUITE 330, VANCOUVER, WA 98664-3299
(360) 514-1854
(360) 514-6063
Mailing address
312 SE STONEMILL DR., SUITE 160, VANCOUVER, WA 98684-3514
(360) 735-3480
(360) 735-3481
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
08/17/2006
Last updated
03/03/2009
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