Organization
THE VANCOUVER CLINIC INC PS
Active
Parent organization
THE VANCOUVER CLINIC INC PS
Other names
The Vancouver clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE VANCOUVER CLINIC INC PS
Authorized official
JULIE A BARRY (CREDENTIALING COORDINATOR)
(360) 397-3352
Entity
Organization
Contact information
Practice address
4500 SE COLUMBIA PALISADES DR, CAMAS, WA 98607-8444
(360) 882-2778
(360) 604-1780
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1046502
—
WA
Enumeration date
09/25/2020
Last updated
09/25/2020
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