Organization
VIGOR NATURAL HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIEL MASTRICH ND (OWNER)
(503) 880-2570
Entity
Organization
Contact information
Practice address
3200 SE 164TH AVE, SUITE 212, VANCOUVER, WA 98683-1107
(360) 406-4884
Mailing address
3200 SE 164TH AVE, SUITE 212, VANCOUVER, WA 98683-1107
(360) 406-4884
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
NT60374417
WA
261QM1300X
Multi-Specialty Clinic/Center
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Other
Enumeration date
03/15/2015
Last updated
03/15/2015
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