Organization
ALBANY EMERGENCY PHYSICIANS SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS VANASCHE MD (EMERGENCY DEPART MEDICAL DIRECTOR)
(503) 926-2244
Entity
Organization
Contact information
Practice address
1046 W 6TH AVE, ALBANY, OR 97321
(503) 926-2244
Mailing address
PO BOX 2065, SEATTLE, WA 98111-2065
(888) 633-0083
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070409
—
OR
05
—
168103
—
OR
05
—
7066368
—
WA
01
—
79195
WASHINGTON LABOR & IND
—
01
—
CD7791
RAILROAD MEDICARE
—
Enumeration date
04/07/2006
Last updated
08/22/2020
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