FISHERS LANDING URGENT & FAMILY CARE (NPI# 1134158348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134158348 |
| Entity Type | Organization |
| Organization Name | FISHERS LANDING URGENT & FAMILY CARE |
| Practice Address |
3200 Se 164th Ave Suite 101 Vancouver WA 98683 |
| Mailing Address |
Po Box 873236 Vancouver WA 98687 |
| Practice Telephone | 3608826997 |
| Practice Fax Number | 3608824132 |
| Mailing Telephone | 3608826997 |
| Mailing Fax Number | 3608824132 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | RONALD L KING (OWNER) |
| Authorized Official Telephone | 3602817399 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7115348 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FISHERS LANDING URGENT & FAMILY CARE, LLC | 3200 Se 164th Ave #101, Vancouver, WA 98683 |
| Street Address |
3200 SE 164TH AVE SUITE 101 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962438424 | Fishers Landing Physical Therapy | Physical Therapist | 3200 Se 164th Ave, Suite 101, Vancouver, WA 98683-1107 | 2006-06-24 |
| 1891241261 | Paladina Health, LLC | Family Medicine | 3200 Se 164th Ave, Suite 102, Vancouver, WA 98683-1107 | 2016-08-26 |
| 1962895961 | Vigor Natural Health Clinic, LLC | Clinic/Center | 3200 Se 164th Ave, Suite 212, Vancouver, WA 98683-1107 | 2015-03-15 |
| 1255459699 | Darin D Swan | Physical Therapist | 3200 Se 164th Ave, Suite 101, Vancouver, WA 98683-1107 | 2007-03-26 |
| 1245301357 | Joseph P Villaluz | Dentist | 3200 Se 164th Ave, Suite 207, Vancouver, WA 98683-1107 | 2006-11-11 |
| 1235154808 | Ronald L King | Physician Assistant | 3200 Se 164th Ave, Suite 101, Vancouver, WA 98683-1107 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538635420 | Amy Yvonne Galindo-ortega | Specialist | 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 | 2018-10-17 |
| 1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
| 1669994166 | Maya Mersal | Specialist | 316 Se 123rd Ave Ste A67, Vancouver, WA 98683-4056 | 2017-07-17 |
| 1043769334 | Blue Pearl Vancouver | Specialist | 6607 Ne 84th St, Suite 109, Vancouver, WA 98665-2018 | 2016-09-27 |
| 1194129742 | Gail A Lordi | Specialist | 4013 Ne 158th Ave, Vancouver, WA 98682-7477 | 2014-10-10 |
| 1922429844 | Reynard Carrie Jr. | Specialist | 5305 Ne 121st Ave Unit 114, Vancouver, WA 98682-6246 | 2013-12-18 |
| 1891125316 | Allergy & Asthma Centers of The Nw | Specialist | 8614 E Mill Plain Blvd Ste 300, Vancouver, WA 98664-2058 | 2013-11-19 |
| 1518225176 | Crystal Lee Hartshorn | Specialist | 1004 Ne Minnehaha St, Vancouver, WA 98665-8728 | 2012-05-01 |
| 1740564038 | Candace Nicoloe Cashmore | Specialist | 109 Se 101st, Vancouver, WA 98663 | 2011-10-05 |
| 1790087211 | Sandra Jean Bepler | Specialist | 2707 Ne 114th Ave, Suite C, Vancouver, WA 98684-4293 | 2010-12-04 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.