| Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | |
|
14411 Ne 20th Ave Suite 101 Vancouver WA 98686-6431 | |
| (360) 256-4425 | |
| (360) 260-7249 |
| Full Name | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps |
|---|---|
| Speciality | Clinic/center |
| Location | 14411 Ne 20th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Nathan J Geigle (PRACTICE MANAGER) |
| Authorized Official Contact | 3604496612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps 1405 Se 164th Ave Suite 102 Vancouver WA 98683-9644 Ph: (360) 256-4425 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps 14411 Ne 20th Ave Suite 101 Vancouver WA 98686-6431 Ph: (360) 256-4425 |
| NPI Number | 1912198748 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912198748 | NPI | - | NPPES |
| 7068596 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Washington) | Primary |
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