NPI 1801261847

NW Olive Clinic, LLC

Organisation Exclusive Provider Organization Vancouver, WA

Practice location

Address: 302 E 37th St, Vancouver, WA 98663-2212
Phone: (360) 258-0627

Authorised official

Name: Sabah Targhi
Title: Owner
Phone: (360) 258-0627

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence NT60548368 (WA)

Other Exclusive Provider Organization providers in Washington →

Registry record

NPI: 1801261847
Entity type: Organization
NPI issued: 2 Dec 2015
Record last updated: 2 Dec 2015

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.