Organization
OPEN ADVANCED MRI OF VANCOUVER PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY E LARHS MD (MEDICAL DIRECTOR)
(503) 246-6666
Entity
Organization
Contact information
Practice address
221 NE 104TH AVE, STE 106, VANCOUVER, WA 98664-4505
(503) 246-6666
(506) 246-9465
Mailing address
221 NE 104TH AVE, STE 106, VANCOUVER, WA 98664-4587
(503) 246-6666
(503) 246-9465
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
MD00038333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8251449
—
WA
01
—
G8886867
MEDICARE PTAN
WA
01
—
R171792
MEDICARE PTAN
OR
Enumeration date
05/24/2013
Last updated
08/17/2021
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