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Organization

NORTHWEST ACUTE CARE SPECIALISTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT JOHN VISSERS MD (PRESIDENT)
(503) 464-9034
Entity
Organization

Contact information

Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(503) 464-9034
Mailing address
PO BOX 11810, WESTMINSTER, CA 92685-1810
(562) 468-0227

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7147614
WA
Enumeration date
05/21/2008
Last updated
07/14/2010
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