MALIHEH RAZAVI (NPI# 1689977852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689977852 |
Entity Type | Individual |
Full Name | MALIHEH RAZAVI |
Credential | PA-C |
Practice Address |
14508 Nw 20th Ave Ste 102 Vancouver WA 98685 |
Mailing Address |
14508 Ne 20th Ave Vancouver WA 98686-6424 |
Practice Telephone | 3608529070 |
Mailing Telephone | 3608529070 |
Enumeration Date | 2010-12-10 |
Last Update Date | 2018-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
60256605 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4311 11th Ave Ne Ste 200, Seattle, WA 981056367 | 3603671410 |
Street Address |
14508 NW 20TH AVE STE 102 |
City | VANCOUVER |
State | WA |
Zip Code | 98685 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
1760996425 | Eric Moore | Physical Therapy Assistant | 1308 Ne 134th Street, Suite 110, Vancouver, WA 98685 | 2017-11-16 |
1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
1538688668 | Carrie Roxann Wolfe | Counselor | 1313 Ne 134th St Ste 220a, Vancouver, WA 98685 | 2017-09-09 |
1548719461 | Mirror Pond Dental, LLC | Dentist | 1412 Ne 134th St. Suite 120, Vancouver, WA 98685 | 2016-10-04 |
1629522958 | Deanna Carter | Massage Therapist | 1319 Ne 134th Street, Vancouver, WA 98685 | 2016-08-03 |
1417329020 | Kaleen Hoyt | Massage Therapist | 1319 Nw 134th St Suit 103, Vancuver, WA 98685 | 2015-10-22 |
1497173066 | Kelley Heffelfinger | Behavioral Analyst | 9901 Ne 7th Ave., Suite C-116, Vancouver, WA 98685 | 2014-04-01 |
1548512791 | Elana S Kier | Social Worker | 10000 Ne 7th Ave Ste 100b, Vancouver, WA 98685 | 2012-10-12 |
1922370469 | Brian R Timms | Chiropractor | 1412 Ne 134th St Ste 100, Vancouver, WA 98685 | 2012-01-30 |
Find all providers in zip 98685 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
1194128116 | Kimberlee Tess | Physician Assistant | 13003 Ne 46th St, Vancouver, WA 98682-6465 | 2014-10-04 |
1093936122 | Dan Lee Osborne | Physician Assistant | 4421 Ne St. Johns Blvd, Suite F, Vancouver, WA 98661-2573 | 2007-05-02 |
1629158464 | Joseph No Middle Name Marzucco | Physician Assistant | 406 Se 131st Ave Ste 101, Vancouver, WA 98683-4031 | 2006-10-16 |
1124571971 | Rebecca Rowney | Physician Assistant | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2016-07-28 |
1750751285 | Rolando Mendez | Physician Assistant | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2015-09-26 |
1356734966 | Jeffery Smith | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2015-03-07 |
1447640347 | Vancouver Chiropractic Group | Physician Assistant | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2015-01-29 |
1689077059 | Aaron Fordice | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2014-09-30 |
1982033171 | Bryan Thomas Rhoads | Physician Assistant | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2013-11-07 |
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.