Organization
VANCOUVER PRIMARY CARE PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN TONGHUA LU M.D. (OWNER)
(360) 896-3188
Entity
Organization
Contact information
Practice address
11719 NE 95TH ST, SUITE F, VANCOUVER, WA 98682-2444
(360) 896-3188
(360) 896-3122
Mailing address
11719 NE 95TH ST, SUITE F, VANCOUVER, WA 98682-2444
(360) 896-3188
(360) 896-3122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00040188
WA
Other
Enumeration date
05/03/2007
Last updated
05/30/2008
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