NPI 1013040500

Emergency Rooms, Ps

Organisation General Practice Physician Vancouver, WA

Practice location

Address: 4421 NE St Johns Rd Suite F, Vancouver, WA 98661-2573
Phone: (360) 695-9922
Fax: (360) 695-1310

Authorised official

Name: Leann M Bigoni
Title: Operations
Phone: (360) 695-9922

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Washington →

Emergency Medical Services (Emergency Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X

Other Emergency Medicine providers in Washington →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Washington →

Registry record

NPI: 1013040500
Entity type: Organization
NPI issued: 13 Mar 2007
Record last updated: 6 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.