Creekside Medical, P.s.

NPI #1760529374 in Vancouver, Washington

Provider Information

NPI Number
1760529374
Entity Type
Organization
Organization Name
Creekside Medical, P.s.
Primary Specialty
Internal Medicine
Enumeration Date
Jan 31, 2007
Last Updated
Jul 23, 2014

Practice Location

Address
900 NE 139TH ST
Address 2
STE 202
ZIP Code
98685-2513
Phone
(360) 566-9355

Authorized Official

Name
CAROL DAVIS
Title
CLINIC MANAGER
Phone
(360) 566-9355

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Pediatrics
Internal Medicine

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