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Organization

MEDILOGIC LLC

Active
Other names
Restoration Medical Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON HILL WORKS (ADMINISTRATOR)
(541) 991-1006
Entity
Organization

Contact information

Practice address
406 SE 131ST AVE, SUITE 109, VANCOUVER, WA 98683-4004
(541) 991-1006
(360) 326-2271
Mailing address
406 SE 131ST AVE STE 109, VANCOUVER, WA 98683-4031
(541) 991-1006
(360) 326-2271

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OP60159597
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500634349
WA
Enumeration date
08/04/2015
Last updated
04/11/2017
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