Organization
NORTHWEST MEDICAL ASSOCIATES,PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY SUGARMAN MD (PRESIDENT)
(360) 254-8025
Entity
Organization
Contact information
Practice address
222 NE PARK PLAZA DR, SUITE 100, VANCOUVER, WA 98684-5895
(360) 254-8025
(360) 254-8618
Mailing address
222 NE PARK PLAZA DR, SUITE 100, VANCOUVER, WA 98684-5895
(360) 254-8025
(360) 254-8618
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7044142
—
WA
01
—
CO3313
RAILROAD MEDICARE
WA
Enumeration date
06/25/2006
Last updated
01/07/2015
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