NORTHWEST PHYSICIAN CLINIC, LLC (NPI# 1083824320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083824320 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PHYSICIAN CLINIC, LLC |
| Practice Address |
406 Se 131st Ave Suite 203 B Vancouver WA 98683-4004 |
| Practice Telephone | 3602544402 |
| Practice Fax Number | 3608929241 |
| Mailing Telephone | 3602544402 |
| Mailing Fax Number | 3608929241 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LAWRENCE E. FOLTZ (PRESIDENT) |
| Authorized Official Telephone | 3609446878 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
406 SE 131ST AVE SUITE 203 B |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649333 | Michael Kenneth Jensen | Dentist | 406 Se 131st Ave, Ste 202, Vancouver, WA 98683-4004 | 2005-06-16 |
| 1568931970 | Kristin Elizabeth Taylor | Acupuncturist | 406 Se 131st Ave, Vancouver, WA 98683-4004 | 2018-11-14 |
| 1073057816 | Anna Rachel | Massage Therapist | 406 Se 131st Ave, 108, Vancouver, WA 98683-4004 | 2016-12-13 |
| 1629454327 | Medilogic LLC | Clinic/Center | 406 Se 131st Ave, Suite 109, Vancouver, WA 98683-4004 | 2015-08-04 |
| 1164729398 | David T Lee Md Internal Medicine LLC | Clinic/Center | 406 Se 131st Ave, Suite 109, Vancouver, WA 98683-4004 | 2011-02-24 |
| 1912173923 | Cascade Physical Therapy LLC | Physical Therapist | 406 Se 131st Ave, Ste 205b, Vancouver, WA 98683-4004 | 2008-04-30 |
| 1831374719 | Dr Gary R Winebrenner, PC | Clinic/Center | 406 Se 131st Ave, Suite 109, Vancouver, WA 98683-4004 | 2008-01-09 |
| 1639351729 | Stephanie Lynn Works | Family Medicine | 406 Se 131st Ave, Suite 109, Vancouver, WA 98683-4004 | 2007-11-29 |
| 1225219710 | Columbia Urology, P.s. | Specialist | 406 Se 131st Ave, Suite 108, Vancouver, WA 98683-4004 | 2007-11-26 |
| 1063622355 | Cascade Family Medicine, P.s. | Family Medicine | 406 Se 131st Ave, Suite 203 B, Vancouver, WA 98683-4004 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003036195 | Clark County Current Expense & Clark County Auditors Office | Preventive Medicine | 1601 E Fourth Plain Blvd Bldg 17, 3rd Floor, Vancouver, WA 98661-3713 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851840508 | Kimquy Kieu | Preventive Medicine | 711 24th Ave S, Seattle, WA 98144-3003 | 2016-09-22 |
| 1659799443 | James Kublin | Preventive Medicine | 1100 Fairview Ave N # E3-300, Seattle, WA 98109-4433 | 2014-03-31 |
| 1679918031 | Richard L. Rysdam | Preventive Medicine | 4742 42nd Ave Sw # 292, Seattle, WA 98116-4553 | 2013-04-29 |
| 1275886533 | Ashley Hedeen | Preventive Medicine | 1400 N 143rd St, Seattle, WA 98133-7102 | 2012-10-23 |
| 1821354069 | Aristotle Sun | Preventive Medicine | 3915 Talbot Rd S Ste 104, Renton, WA 98055-5738 | 2012-04-02 |
| 1760756563 | Reimert Thorolf Ravenholt | Preventive Medicine | 3156 E Laurelhurst Dr Ne, Seattle, WA 98105-5333 | 2012-02-27 |
| 1124316641 | Steven Dale Helgerson | Preventive Medicine | 601 Belmont Ave E, Suite F11, Seattle, WA 98102-4875 | 2011-07-18 |
| 1194054247 | Lewis B Rock IIi | Preventive Medicine | 2375 30th Ave Ne, Issaquah, WA 98029-3618 | 2009-12-21 |
| 1609047810 | Paul Howard Stepak | Preventive Medicine | 15300 Bothell Way Ne, Lake Forest Park, WA 98155-7634 | 2008-03-14 |
| 1326253501 | Kristin Elise Erickson | Preventive Medicine | 9040 Jackson Ave Medical Evaluation Board, Tacoma, WA 98431-0001 | 2007-05-11 |
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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.