| Columbia Asthma And Allergy Clinic | |
|
1406 Se 164th Ave Ste 250 Vancouver WA 98683-9663 | |
| (360) 940-0810 | |
| (360) 567-1967 |
| Full Name | Columbia Asthma And Allergy Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1406 Se 164th Ave Ste 250, Vancouver, Washington |
| Authorized Official Name and Position | Rajeev Jain (COO) |
| Authorized Official Contact | 4084760624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Asthma And Allergy Clinic 43575 Mission Blvd # 716 Fremont CA 94539-5831 Ph: (360) 609-7077 | Columbia Asthma And Allergy Clinic 1406 Se 164th Ave Ste 250 Vancouver WA 98683-9663 Ph: (360) 940-0810 |
| NPI Number | 1912048745 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 10/13/2023 |
| Medicare PECOS PAC ID | 5698664993 |
|---|---|
| Medicare Enrollment ID | O20040315000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912048745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael J Noonan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1124166244 PECOS PAC ID: 0648169946 Enrollment ID: I20040315000078 |
| Provider Name | Sanjeev Jain |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1710973839 PECOS PAC ID: 1759313604 Enrollment ID: I20050901000273 |
| Provider Name | Jon E Welch |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1639285034 PECOS PAC ID: 2062306780 Enrollment ID: I20140520001175 |
| Provider Name | Julia Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700439288 PECOS PAC ID: 9931538816 Enrollment ID: I20200327000850 |
| Provider Name | Angela Escobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760012835 PECOS PAC ID: 0244669679 Enrollment ID: I20200812003435 |
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