The Vancouver Clinic INC Ps

NPI #1609483429 in Camas, Washington

Provider Information

NPI Number: 1609483429
Entity Type: Organization
Organization Name: The Vancouver Clinic INC Ps
Subpart: Yes (part of a larger organization)
Parent Organization: THE VANCOUVER CLINIC INC PS
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 25, 2020
Last Updated: Sep 25, 2020

Practice Location

Address: 4500 SE COLUMBIA PALISADES DR
City: Camas
State: Washington
ZIP Code: 98607-8444
Phone: (360) 882-2778

Authorized Official

Name: JULIE A BARRY
Title: CREDENTIALING COORDINATOR
Phone: (360) 397-3352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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