Organization
THE VANCOUVER CLINIC INC PS
Active
Parent organization
THE VANCOUVER CLINIC INC PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE VANCOUVER CLINIC INC PS
Authorized official
ALFRED SEEKAMP MD (CHIEF MEDICAL OFFICER)
(360) 397-5532
Entity
Organization
Contact information
Practice address
2 S 56TH PL STE 205, RIDGEFIELD, WA 98642-3427
(360) 882-2778
(360) 604-1692
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
05/15/2020
Last updated
05/15/2020
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