| Family Physicians Group Ps | |
|
16811 Se Mcgillivray Blvd Vancouver WA 98683-0400 | |
| (360) 735-8100 | |
| (360) 735-3400 |
| Full Name | Family Physicians Group Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 16811 Se Mcgillivray Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Kurt Litvin (ADMINISTRATOR) |
| Authorized Official Contact | 3607358100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physicians Group Ps 312 Se Stone Mill Dr Suite 160 Vancouver WA 98684-3545 Ph: (360) 735-8100 | Family Physicians Group Ps 16811 Se Mcgillivray Blvd Vancouver WA 98683-0400 Ph: (360) 735-8100 |
| NPI Number | 1225054141 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225054141 | NPI | - | NPPES |
| 7984800 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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