| Vigor Natural Health Clinic, Llc | |
|
3200 Se 164th Ave Suite 212 Vancouver WA 98683-1107 | |
| (360) 406-4884 | |
| Not Available |
| Full Name | Vigor Natural Health Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 3200 Se 164th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Ariel Mastrich (OWNER) |
| Authorized Official Contact | 5038802570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vigor Natural Health Clinic, Llc 3200 Se 164th Ave Suite 212 Vancouver WA 98683-1107 Ph: (360) 406-4884 | Vigor Natural Health Clinic, Llc 3200 Se 164th Ave Suite 212 Vancouver WA 98683-1107 Ph: (360) 406-4884 |
| NPI Number | 1962895961 |
|---|---|
| Provider Enumeration Date | 03/15/2015 |
| Last Update Date | 03/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962895961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | NT60374417 (Washington) | Primary |
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