Organization
EMERGENCY MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL M GORECKI MD (MD/AUTHORIZED OFFICIAL)
(360) 514-2142
Entity
Organization
Contact information
Practice address
600 NE 92ND AVE, VANCOUVER, WA 98664-3225
(360) 514-2000
(360) 514-6820
Mailing address
PO BOX 742997, LOS ANGELES, CA 90074-2997
(781) 280-1773
(781) 280-1814
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
601287343
WA
261QE0002X
Emergency Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278137
—
OR
05
—
7128507
—
WA
01
—
DE1747
RAILROAD MEDICARE
WA
Enumeration date
05/15/2006
Last updated
01/05/2022
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