LEGACY SALMON CREEK IM


Address: 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2325
Phone: 5034134318

LEGACY SALMON CREEK IM (NPI# 1841737699) 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) 1841737699
Entity Type Organization
Organization Name LEGACY SALMON CREEK IM
Practice Address 2101 Ne 139th St
Suite 460
Vancouver
WA 98686-2325
Practice Telephone 5034134318
Enumeration Date 2017-01-31
Last Update Date 2017-01-31
Authorized Official Name COURTNEY JONES (CREDENTIALING SPECIALIST)
Authorized Official Telephone 5034134318
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 60709743 WA Ambulatory Health Care Facilities

Office Location

Street Address 2101 NE 139TH ST
SUITE 460
City VANCOUVER
State WA
Zip Code 98686-2325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144215567 Kathleen Jo Hensch-fleming Advanced Practice Midwife 2101 Ne 139th St, Suite 255, Vancouver, WA 98686-2309 2005-09-12
1518396290 Colleen Castleberry Social Worker 2101 Ne 139th St, Suite 260, Vancouver, WA 98686-2309 2013-11-04
1992144208 Ross Puterbaugh Nurse Practitioner 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 2013-06-19
1093073629 Amanda R Bonner Internal Medicine 2101 Ne 139th St, Suite #460, Vancouver, WA 98686 2012-05-02
1740579606 Entoffice.org, Pllc Clinic/Center 2101 Ne 139th St, Suite 285, Vancouver, WA 98686-2309 2011-03-31
1023325628 Karen A Sims-bundy Registered Nurse 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 2010-09-03
1003147695 Beth L King Registered Nurse 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 2010-01-20
1932332236 Jodi Carleen Houghton Nurse Practitioner 2101 Ne 139th St, Suite 450, Vancouver, WA 98686-2309 2009-09-02
1376772616 Natashia Monique Madrid Heimburger Obstetrics & Gynecology 2101 Ne 139th St, Suite 350, Vancouver, WA 98686-2309 2009-07-08
1730323528 Marsha Shennum Burns Nurse Practitioner 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 2009-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154891117 Dorota Bozena Barton Speech-Language Pathologist 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 2018-12-03
1881161818 Michelle Wolfe Dental Assistant A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 2018-10-29
1306321237 Rainier Springs Physician Group, LLC General Practice 2805 Ne 129th Street, Vancouver, WA 98686 2018-09-26
1801382387 Kristopher K Kostenko Dentist 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 2018-07-08
1689164071 Tegan Mills Occupational Therapist 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 2018-05-11
1164924122 Kate Kristin Lawrence Speech-Language Pathologist 2215 Ne 104th St, Vancouver, WA 98686 2018-03-06
1437609567 Elina Baranets Registered Nurse 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 2016-10-13
1386039550 Sean Vikram Bhatia Internal Medicine Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 2015-04-03
1376988642 Lindsay Hussey-andersen Orthopaedic Surgery 2525 Ne 139th St Ste 140, Vancouver, WA 98686 2013-05-01
1710253109 Legacy Salmon Creek Hospital Speech-Language Pathologist 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 2012-03-29
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881109361 Advanced Acupuncture, Inc. Clinic/Center 9411 Ne Highway 99 Ste 1, Vancouver, WA 98665-8970 2017-12-06
1699144865 Planned Parenthood of The Columbia/willamette Clinic/Center 11516 Se Mill Plain Blvd Ste 2e, Suite 2e, Vancouver, WA 98684-5082 2015-09-17
1265842041 Onsite Doctors, LLC Clinic/Center 1800 Se Columbia River Dr., Vancouver, WA 98661 2014-05-02
1942641584 Pnw Ent Clinic/Center 718 Ne 87th Ave, Vancouver, WA 98664-1970 2013-07-11
1538709803 Legacy Salmon Creek Hospital Clinic/Center 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 2020-01-14
1851944375 Ideal Option, Pllc Clinic/Center 315 W Mill Plain Blvd Ste 200, Vancouver, WA 98660-3999 2019-07-23
1225507890 Columbia Family Medicine Clinic LLC Clinic/Center 3606 Main St, Vancouver, WA 98663-2257 2018-11-13
1801319827 Siloam Ps Clinic/Center 406 Se 131st Ave Ste 203, Vancouver, WA 98683-4013 2017-07-21
1912369430 Plum Village Wellness Clinic/Center 202 E Mcloughlin Blvd, 201, Vancouver, WA 98663-3369 2016-03-23
1003278920 Oregon Health & Science University Clinic/Center 700 Ne 87th Ave, Suite 110, Vancouver, WA 98664-1913 2016-03-22
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Competitor

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City VANCOUVER
Zip Code 98686

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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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