NPI 1386918084

West Family Clinic

Organisation Preferred Provider Organization Vancouver, WA

Practice location

Address: 1612 NE 78th St, Vancouver, WA 98665-9635
Phone: (360) 573-3223
Mailing address: 1612 NE 78th Street, Vancouver, WA 98665

Authorised official

Name: Meed West
Title: Owner
Phone: (360) 573-3223

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 00001155 (WA)

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Registry record

NPI: 1386918084
Entity type: Organization
NPI issued: 28 Feb 2012
Record last updated: 28 Feb 2012

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.