Organization
PACIFIC GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHDI S FERDOWS M.D. (OWNER)
(360) 823-0880
Entity
Organization
Contact information
Practice address
814 NE 87TH AVE, VANCOUVER, WA 98664-1915
(360) 823-0880
Mailing address
PO BOX 5894, VANCOUVER, WA 98668-5894
(360) 823-0880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD000411
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7134794
—
WA
Enumeration date
11/28/2007
Last updated
01/02/2008
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