NPI 1972854370

Aging Resources

Organisation Health Maintenance Organization Vancouver, WA

Practice location

Address: 7710 NE Vancouver Mall Dr STE C, Vancouver, WA 98662-6485
Phone: (360) 574-5293
Fax: (360) 574-7824

Authorised official

Name: Gail Haskett
Title: President
Phone: (360) 574-5293

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 602-412-767 (WA)

Other Health Maintenance Organization providers in Washington →

Registry record

NPI: 1972854370
Entity type: Organization
NPI issued: 25 Sep 2012
Record last updated: 25 Sep 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.