Blue Pearl Vancouver

NPI #1043769334 in Vancouver, Washington

Provider Information

NPI Number: 1043769334
Entity Type: Organization
Organization Name: Blue Pearl Vancouver
Primary Specialty: Specialist
Enumeration Date: Sep 27, 2016
Last Updated: Sep 27, 2016

Practice Location

Address: 6607 NE 84TH ST
Address 2: SUITE 109
City: Vancouver
State: Washington
ZIP Code: 98665-2018
Phone: (360) 694-3007

Authorized Official

Name: LISA HEITING
Title: SR FINANCIAL COORDINATOR/SYSTEMS MN
Phone: (360) 694-3007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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