Organization
VANCOUVER AL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SPENCER (SR VP OF OPERATIONS)
(332) 322-1990
Entity
Organization
Contact information
Practice address
2610 SE 164TH AVE, VANCOUVER, WA 98683-1100
(360) 502-2953
Mailing address
2610 SE 164TH AVE, VANCOUVER, WA 98683-1100
(360) 502-2953
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2732
ASSISTED LIVING LICENSE
WA
Enumeration date
06/19/2026
Last updated
06/19/2026
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