Organization
CREEKSIDE MEDICAL, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE L VINCENT (PRACTICE ADMINISTRATOR)
(360) 566-9355
Entity
Organization
Contact information
Practice address
900 NE 139TH ST, SUITE 202, VANCOUVER, WA 98685-2513
(360) 566-9355
(360) 816-1327
Mailing address
900 NE 139TH ST, SUITE 202, VANCOUVER, WA 98685-2513
(360) 566-9355
(360) 816-1327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
WA
208000000X
Pediatrics Physician
—
WA
363AM0700X
Medical Physician Assistant
—
WA
Other
Enumeration date
01/31/2007
Last updated
02/09/2026
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