THE VANCOUVER CLINIC INC PS (NPI# 1619149960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619149960 |
| Entity Type | Organization |
| Organization Name | THE VANCOUVER CLINIC INC PS |
| Other Organization Name | THE VANCOUVER CLINIC, AMBULATORY SURGERY CENTER |
| Practice Address |
700 Ne 87th Ave Vancouver WA 98664-1913 |
| Mailing Address |
700 Ne 87th Ave Vancouver WA 98664-4896 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041771 |
| Mailing Telephone | 3603973352 |
| Mailing Fax Number | 3606041771 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | DR. SHARON CROWELL (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 3608822778 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | THE VANCOUVER CLINIC INC PS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I | 213062 | 01 |
| WA | 7091002 | 05 |
| Other Name | Type Code |
|---|---|
| THE VANCOUVER CLINIC, AMBULATORY SURGERY CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004477 | The Vancouver Clinic Inc Ps | Eyewear Supplier (Equipment, not the service) | 2 S 56th Pl Ste 205, Ridgefield, WA 98642-3427 | 2020-05-15 |
| 1609483429 | The Vancouver Clinic Inc Ps | Eyewear Supplier (Equipment, not the service) | 4500 Se Columbia Palisades Dr, Camas, WA 98607-8444 | 2020-09-25 |
| 1992759427 | The Vancouver Clinic Inc Ps | Dermatology | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-05-20 |
| Street Address |
700 NE 87TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255112 | Lewis Mark Steinberg | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2005-06-17 |
| 1598398141 | Blakely Garrity | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2020-02-21 |
| 1851958797 | Rosa Pham | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2019-05-28 |
| 1902368319 | Alexandria Eunsong Yeo | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2019-04-03 |
| 1568961100 | Jill Renee Bradley | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2018-02-09 |
| 1245757939 | Matthew Elamparo | Pharmacist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-08-24 |
| 1174051023 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913 | 2017-05-23 |
| 1952833741 | Jeanne Lothrop Gurney | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-03-30 |
| 1730639626 | Cameron M Schmidt | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2016-10-04 |
| 1164971610 | David C Turro Jr. | Physician Assistant | 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 | 2016-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700910460 | Vancouver Plastic Surgery Clinic Ps | Clinic/Center | 3100 Main St, Vancouver, WA 98663-2752 | 2007-03-15 |
| 1669427043 | Vancouver Eye Care Ps | Clinic/Center | 17720 Se Mill Plain, Suite 100, Vancouver, WA 98683 | 2006-05-23 |
| 1588029870 | Pacific Gastroenterology Pllc | Clinic/Center | 8506 E Mill Plain Blvd, Suite C, Vancouver, WA 98664-2011 | 2015-12-31 |
| 1124438684 | Vancouver Dental Surgery Center | Clinic/Center | 14411 Ne 20th Ave, Suite 107, Vancouver, WA 98686-6431 | 2014-05-05 |
| 1962706655 | Advanced Gastroenterology | Clinic/Center | 2415 Ne 134th St, Suite 205, Vancouver, WA 98686-3025 | 2011-01-10 |
| 1558552380 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | Clinic/Center | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-9644 | 2007-08-07 |
| 1821289653 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | Clinic/Center | 14411 Ne 20th Ave, Suite 101, Vancouver, WA 98686-6431 | 2007-08-07 |
| 1639268469 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 14411 Ne 20th Ave Ste 101, Vancouver, WA 98686-6432 | 2006-10-12 |
| 1265527162 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 1405 Se 164th Ave Ste 102, Vancouver, WA 98683-9644 | 2006-10-04 |
| 1366536880 | Southwest Washington Regional Surgery Center, LLC | Clinic/Center | 200 Ne Mother Joseph Place, Suite 200, Vancouver, WA 98664-3294 | 2006-10-02 |
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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.