VANCOUVER PLASTIC SURGERY CLINIC PS


Address: 3100 Main St, Vancouver, WA 98663-2752
Phone: 3606955754

VANCOUVER PLASTIC SURGERY CLINIC PS (NPI# 1700910460) 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) 1700910460
Entity Type Organization
Organization Name VANCOUVER PLASTIC SURGERY CLINIC PS
Practice Address 3100 Main St
Vancouver
WA 98663-2752
Practice Telephone 3606955754
Practice Fax Number 3606951996
Mailing Telephone 3606955754
Mailing Fax Number 3606951996
Enumeration Date 2007-03-15
Last Update Date 2020-08-22
Authorized Official Name DR. MANJIT INDER SINGH BRAR (PRESIDENT)
Authorized Official Telephone 3606955754
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
WA Ambulatory Health Care Facilities

Office Location

Street Address 3100 MAIN ST
City VANCOUVER
State WA
Zip Code 98663-2752

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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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Competitor

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City VANCOUVER
Zip Code 98663

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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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