Organization
PAYETTE CLINICS, PC
Active
Other names
Payette Clinic Medical & Mental Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARTENE BELL N.P. (OWNER)
(360) 216-4493
Entity
Organization
Contact information
Practice address
4210 NE 66TH AVE, SUITE 111, VANCOUVER, WA 98661
(360) 216-4493
(360) 993-1800
Mailing address
4210 NE 66TH AVE, SUITE 111, VANCOUVER, WA 98661
(360) 216-4493
(360) 993-1800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9645193
—
WA
Enumeration date
03/19/2007
Last updated
08/22/2020
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