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Organization

VANCOUVER CLINIC INC

Active
Parent organization
VANCOUVER CLINIC INC
Other names
ROSE QUARTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
VANCOUVER CLINIC INC
Authorized official
DR. SHARON CROWELL MD (CHAIRMAN OF THE BOARD)
(360) 397-1500
Entity
Organization

Contact information

Practice address
ONE CENTER COURT, SUITE 110, PORTLAND, OR 97227
(503) 732-6863
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-3352
(360) 601-8169

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
04/30/2008
Last updated
02/02/2010
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