Organization
VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC
Active
Other names
Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN J GEIGLE (PRACTICE MANAGER)
(360) 449-6612
Entity
Organization
Contact information
Practice address
14411 NE 20TH AVE, SUITE 101, VANCOUVER, WA 98686-6431
(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
—
7135486
—
WA
01
—
DF7194
RAILROAD MEDICARE
WA
Enumeration date
10/04/2006
Last updated
10/29/2007
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