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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 60709743 | WA | Ambulatory Health Care Facilities |
Street Address |
2101 NE 139TH ST SUITE 460 |
City | VANCOUVER |
State | WA |
Zip Code | 98686-2325 |
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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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 Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
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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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.