Pediatric Services of America, LLC
NPI #1114956646 in Vancouver, Washington
Provider Information
- NPI Number
- 1114956646
- Entity Type
- Organization
- Organization Name
- Pediatric Services of America, LLC
- Primary Specialty
- Nursing Care
- Enumeration Date
- Jun 30, 2006
- Last Updated
- Mar 31, 2021
Practice Location
- Address
- 2700 NE ANDRESEN RD
- Address 2
- SUITE D-3
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98661-7347
- Phone
- (360) 693-7595
Authorized Official
- Name
- VICKI WHITESIDE
- Title
- AVP, REGULATORY LICENSING
- Phone
- (770) 248-8740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
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