| Park Place Medical Center | |
|
13115 Ne 4th St Suite 230 Vancouver WA 98684-5957 | |
| (360) 828-8008 | |
| (360) 326-1609 |
| Full Name | Park Place Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 13115 Ne 4th St, Vancouver, Washington |
| Authorized Official Name and Position | Peter James Bessas (OWNER) |
| Authorized Official Contact | 3608288008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Medical Center 13115 Ne 4th St Suite 230 Vancouver WA 98684-5957 Ph: (360) 828-8008 | Park Place Medical Center 13115 Ne 4th St Suite 230 Vancouver WA 98684-5957 Ph: (360) 828-8008 |
| NPI Number | 1780751818 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/18/2015 |
| Medicare PECOS PAC ID | 0840290029 |
|---|---|
| Medicare Enrollment ID | O20070111000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780751818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD00041827 (Washington) | Primary |
| Provider Name | Peter J Bessas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992756498 PECOS PAC ID: 9032119219 Enrollment ID: I20070111000620 |
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