VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC (NPI# 1861587719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861587719 |
| Entity Type | Organization |
| Organization Name | VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC |
| Other Organization Name | VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CLINIC |
| Practice Address |
14411 Ne 20th Ave Suite 101 Vancouver WA 98686-6431 |
| Mailing Address |
1405 Se 164th Ave Suite 102 Vancouver WA 98683-9644 |
| Practice Telephone | 3602564425 |
| Practice Fax Number | 3602607249 |
| Mailing Telephone | 3602564425 |
| Mailing Fax Number | 3602607249 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-10-29 |
| Authorized Official Name | MR. NATHAN J GEIGLE (PRACTICE MANAGER) |
| Authorized Official Telephone | 3604496612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7135486 | 05 | |
| WA | RAILROAD MEDICARE | DF7194 | 01 |
| Other Name | Type Code |
|---|---|
| Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780755876 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-9644 | 2006-11-13 |
| 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 |
| Street Address |
14411 NE 20TH AVE SUITE 101 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841228061 | Craig William Wong | Dentist | 14411 Ne 20th Ave, Suite 100, Vancouver, WA 98686-6431 | 2006-06-28 |
| 1124438684 | Vancouver Dental Surgery Center | Clinic/Center | 14411 Ne 20th Ave, Suite 107, Vancouver, WA 98686-6431 | 2014-05-05 |
| 1417261322 | Rhonda R Dojan | Audiologist | 14411 Ne 20th Ave, Ste 101, Vancouver, WA 98686-6431 | 2010-08-03 |
| 1083849913 | Salmon Creek Oral & Maxillofacial Surgery,llc | Dentist | 14411 Ne 20th Ave, Suite 111, Vancouver, WA 98686-6431 | 2009-05-21 |
| 1912198748 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | Clinic/Center | 14411 Ne 20th Ave, Suite 101, Vancouver, WA 98686-6431 | 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 |
| 1487854618 | Vancouver Ent & Ent of The Northwest Pllc | Clinic/Center | 14411 Ne 20th Ave, Ste 101, Vancouver, WA 98686-6431 | 2007-07-25 |
| 1396942090 | Salmon Creek Oral Surgery & Periodontics | Dentist | 14411 Ne 20th Ave, Suite 111, Vancouver, WA 98686-6431 | 2007-06-27 |
| 1861556649 | Christopher P. Moor | Audiologist | 14411 Ne 20th Ave, Suite 101, Vancouver, WA 98686-6431 | 2006-12-19 |
| 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 |
| Find all providers in zip 98686 | ||||
| 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 |
| 1841737699 | Legacy Salmon Creek Im | Clinic/Center | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2325 | 2017-01-31 |
| 1912369430 | Plum Village Wellness | Clinic/Center | 202 E Mcloughlin Blvd, 201, Vancouver, WA 98663-3369 | 2016-03-23 |
| 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.