| Mill Plain One Specialty Office | |
|
203 Se Park Plaza Dr Suite 140 Vancouver WA 98684-5886 | |
| (360) 449-7002 | |
| Not Available |
| Full Name | Mill Plain One Specialty Office |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 203 Se Park Plaza Dr, Vancouver, Washington |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Plain One Specialty Office 500 Ne Multnomah St Portland OR 97232-2023 Ph: (503) 813-4939 | Mill Plain One Specialty Office 203 Se Park Plaza Dr Suite 140 Vancouver WA 98684-5886 Ph: (360) 449-7002 |
| NPI Number | 1841441417 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841441417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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