Organization
VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CLINIC, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN J GEIGLE (PRACTICE MANAGER)
(360) 449-6612
Entity
Organization
Contact information
Practice address
1405 SE 164TH AVE, SUITE 102, VANCOUVER, WA 98683-9644
(360) 256-4425
(360) 260-7249
Mailing address
1405 SE 164TH AVE, SUITE 102, VANCOUVER, WA 98683-9644
(360) 256-4425
(360) 260-7249
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7068596
—
WA
Enumeration date
08/07/2007
Last updated
08/07/2007
Update your record
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