NPI 1235765280

Pacific Phoenix Group PLLC

Organisation Psychiatry Physician Vancouver, WA

Practice location

Address: 1499 SE Tech Center Pl STE 190, Vancouver, WA 98683-5529
Phone: (360) 773-6340
Fax: (360) 326-2606
Mailing address: 16420 SE McGillivray Blvd STE 103-253, Vancouver, WA 98683-3461

Authorised official

Name: Oleg N Zbirun
Title: Cfo
Phone: (425) 507-7848

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

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Addiction Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0802X

Registry record

NPI: 1235765280
Entity type: Organization
NPI issued: 20 Mar 2020
Record last updated: 3 Feb 2025

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.