MR. VINCE POFFENROTH


Address: 7804 206th St Sw, Edmonds, WA 98026-6862
Phone: 2064919522

MR. VINCE POFFENROTH (NPI# 1366813156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366813156
Entity Type Individual
Full Name MR. VINCE POFFENROTH
Credential RRT
Practice Address 7804 206th St Sw
Edmonds
WA 98026-6862
Practice Telephone 2064919522
Mailing Telephone 2064919522
Enumeration Date 2015-10-19
Last Update Date 2015-10-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2278P3900X Respiratory Therapist, Certified
Specialization: Neonatal/Pediatrics
LR00003007 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 7804 206TH ST SW
City EDMONDS
State WA
Zip Code 98026-6862

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Taxonomy Information

Taxonomy Code 2278P3900X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Respiratory Therapist, Certified
Specialization Neonatal/Pediatrics

Taxonomy Definition

The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.

Competitor

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City EDMONDS
Zip Code 98026

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Dataset Information

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.

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