Organization
PEACEHEALTH
Active
Other names
PeaceHealth Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN MONTALVO (EVP CHIEF FINAN-GROWTH OFFICER)
(360) 729-1102
Entity
Organization
Contact information
Practice address
505 NE 87TH AVE, SUITE 301, VANCOUVER, WA 98664-1965
(360) 514-7374
(360) 514-7384
Mailing address
1115 SE 164TH AVE, DEPT 358, VANCOUVER, WA 98683-9324
(360) 729-1412
(360) 501-7555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00027022
WA
Other
Enumeration date
09/10/2007
Last updated
03/08/2021
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