The Vancouver Clinic INC Ps

NPI #1760004477 in Ridgefield, Washington

Provider Information

NPI Number: 1760004477
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: May 15, 2020
Last Updated: May 15, 2020

Practice Location

Address: 2 S 56TH PL STE 205
City: Ridgefield
State: Washington
ZIP Code: 98642-3427
Phone: (360) 882-2778

Authorized Official

Name: ALFRED SEEKAMP, MD
Title: CHIEF MEDICAL OFFICER
Phone: (360) 397-5532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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