Organization
VANCOUVER ENT & ENT OF THE NORTHWEST, PLLC
Active
Other names
Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRENE T HAYWOOD (BILLING OFFICE SUPERVISOR)
(360) 449-6613
Entity
Organization
Contact information
Practice address
1405 SE 164TH AVE, STE 102, VANCOUVER, WA 98683-9644
(360) 256-4425
(360) 260-7249
Mailing address
1405 SE 164TH AVE, STE 102, VANCOUVER, WA 98683-9644
(360) 256-4425
(360) 260-7249
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9059056
—
WA
Enumeration date
07/25/2007
Last updated
07/25/2007
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