| Natalie Paul Private Practice, PLLC | |
|
5501 Ne 109th Ct Ste N Vancouver WA 98662-6174 | |
| (971) 225-6970 | |
| (833) 464-3458 |
| Full Name | Natalie Paul Private Practice, PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 5501 Ne 109th Ct Ste N, Vancouver, Washington |
| Authorized Official Name and Position | Natalie Paul (NURSE PRACTITIONER) |
| Authorized Official Contact | 9712256970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Paul Private Practice, PLLC 5501 Ne 109th Ct Ste N Vancouver WA 98662-6174 Ph: (971) 225-6970 | Natalie Paul Private Practice, PLLC 5501 Ne 109th Ct Ste N Vancouver WA 98662-6174 Ph: (971) 225-6970 |
| NPI Number | 1801526454 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 09/24/2023 |
| Certification Date | 09/24/2023 |
| Medicare PECOS PAC ID | 9032595046 |
|---|---|
| Medicare Enrollment ID | O20220928002913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801526454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| Provider Name | Natalie a Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427507086 PECOS PAC ID: 0042592008 Enrollment ID: I20170126002583 |
| Provider Name | Lauren Alexandra Lo Bue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689960890 PECOS PAC ID: 8022505841 Enrollment ID: I20251015002522 |
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