BLUE PEARL VANCOUVER (NPI# 1043769334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043769334 |
Entity Type | Organization |
Organization Name | BLUE PEARL VANCOUVER |
Other Organization Name | COLUMBIA RIVER VETERINARY SPECIALISTS |
Practice Address |
6607 Ne 84th St Suite 109 Vancouver WA 98665-2018 |
Practice Telephone | 3606943007 |
Practice Fax Number | 3607357420 |
Mailing Telephone | 3606943007 |
Mailing Fax Number | 3607357420 |
Enumeration Date | 2016-09-27 |
Last Update Date | 2016-09-27 |
Authorized Official Name | LISA HEITING (SR FINANCIAL COORDINATOR/SYSTEMS MN) |
Authorized Official Telephone | 3606943007 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 602889432 | WA | Other Service Providers |
Other Name | Type Code |
---|---|
Columbia River Veterinary Specialists | Former Legal Business Name - Organization |
Street Address |
6607 NE 84TH ST SUITE 109 |
City | VANCOUVER |
State | WA |
Zip Code | 98665-2018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
Find all providers in zip 98665 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538635420 | Amy Yvonne Galindo-ortega | Specialist | 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 | 2018-10-17 |
1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
1669994166 | Maya Mersal | Specialist | 316 Se 123rd Ave Ste A67, Vancouver, WA 98683-4056 | 2017-07-17 |
1194129742 | Gail A Lordi | Specialist | 4013 Ne 158th Ave, Vancouver, WA 98682-7477 | 2014-10-10 |
1922429844 | Reynard Carrie Jr. | Specialist | 5305 Ne 121st Ave Unit 114, Vancouver, WA 98682-6246 | 2013-12-18 |
1891125316 | Allergy & Asthma Centers of The Nw | Specialist | 8614 E Mill Plain Blvd Ste 300, Vancouver, WA 98664-2058 | 2013-11-19 |
1518225176 | Crystal Lee Hartshorn | Specialist | 1004 Ne Minnehaha St, Vancouver, WA 98665-8728 | 2012-05-01 |
1740564038 | Candace Nicoloe Cashmore | Specialist | 109 Se 101st, Vancouver, WA 98663 | 2011-10-05 |
1790087211 | Sandra Jean Bepler | Specialist | 2707 Ne 114th Ave, Suite C, Vancouver, WA 98684-4293 | 2010-12-04 |
1023337854 | Viktor F Kleyonkin | Specialist | 1803 Ne 125th Ct, Vancouver, WA 98684-5545 | 2010-05-18 |
Find all providers in VANCOUVER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.