NPI 1053594697

Timothy T Ross MD

Organisation Skilled Nursing Facility Vancouver, WA

Practice location

Address: 715 S Andresen Rd, Vancouver, WA 98661-7603
Phone: (360) 693-7877
Fax: (360) 750-6900
Mailing address: 11500 NE 76th St STE A3 Pmb 7, Vancouver, WA 98662-3901

Authorised official

Name: Timothy Todd Ross
Title: Owner
Phone: (360) 254-3663

Registered specialties (2)

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence MD00019932 (WA)

Other Skilled Nursing Facility providers in Washington →

Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence MD12417 (OR)

Registry record

NPI: 1053594697
Entity type: Organization
NPI issued: 5 Dec 2007
Record last updated: 28 Oct 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.