VANCOUVER SPINE & ORTHOPEDIC REHABILITION CENTER, PLLC (NPI# 1720247877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720247877 |
| Entity Type | Organization |
| Organization Name | VANCOUVER SPINE & ORTHOPEDIC REHABILITION CENTER, PLLC |
| Practice Address |
11802 Ne 65th St Vancouver WA 98662-5521 |
| Mailing Address |
11802 Ne 65th St # 100 Vancouver WA 98662-5521 |
| Practice Telephone | 3602536883 |
| Mailing Telephone | 3602536883 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | MRS. KRISTI WAGGONER (OFFICE MANAGER) |
| Authorized Official Telephone | 3602536883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | PT00006628 | WA | Other Service Providers |
| Y | 174400000X | Specialist | CH00002774 | WA | Other Service Providers |
| Street Address |
11802 NE 65TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407080 | Michael B Back | Chiropractor | 11802 Ne 65th St, Suite 100, Vancouver, WA 98662-5521 | 2005-06-15 |
| 1568722130 | Karen M Wilson | Massage Therapist | 11802 Ne 65th St, Suite 100, Vancouver, WA 98662-5521 | 2012-05-17 |
| 1558521708 | Ross Ortega | Specialist | 11802 Ne 65th St, Suite 100, Vancouver, WA 98662-5521 | 2008-06-11 |
| 1073559613 | Powers Chiropractic & Rehabilitation Clinics, Pllc | Physical Therapist | 11802 Ne 65th St, Vancouver, WA 98662-5552 | 2006-06-21 |
| 1457356404 | William R Mackenzie | Chiropractor | 11802 Ne 65th St, 100, Vancouver, WA 98662-5521 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| 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.