| Uptown Providers Pc | |
|
180 Ne 192nd Ave Ste 505 Vancouver WA 98684-7511 | |
| (503) 305-6262 | |
| Not Available |
| Full Name | Uptown Providers Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 Ne 192nd Ave Ste 505, Vancouver, Washington |
| Authorized Official Name and Position | Guru Sankar (CENTER DIRECTOR) |
| Authorized Official Contact | 5033056262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uptown Providers Pc 8060 Sw Pfaffle St Ste 106 Tigard OR 97223-8489 Ph: () - | Uptown Providers Pc 180 Ne 192nd Ave Ste 505 Vancouver WA 98684-7511 Ph: (503) 305-6262 |
| NPI Number | 1255102034 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 03/18/2025 |
| Medicare PECOS PAC ID | 4284891243 |
|---|---|
| Medicare Enrollment ID | O20241219002755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255102034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Parham K Ghavami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386819480 PECOS PAC ID: 0345314076 Enrollment ID: I20080730000020 |
| Provider Name | Sue A Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366559577 PECOS PAC ID: 2466444534 Enrollment ID: I20100609000209 |
| Provider Name | Christian M Molstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912134552 PECOS PAC ID: 8729245097 Enrollment ID: I20161201001082 |
| Provider Name | Andrew J Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861421117 PECOS PAC ID: 2961407978 Enrollment ID: I20171013000093 |
| Provider Name | Sean Plank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528589777 PECOS PAC ID: 8527326198 Enrollment ID: I20240113000577 |
| Provider Name | Vandana Rana |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104952415 PECOS PAC ID: 0941219505 Enrollment ID: I20250102002470 |
| Provider Name | Nina Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013747633 PECOS PAC ID: 9133668312 Enrollment ID: I20250108003634 |
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