SOUTHWEST WASHINGTON MEDICAL CENTER ANTICOAGULATION CLINIC (NPI# 1447460514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447460514 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST WASHINGTON MEDICAL CENTER ANTICOAGULATION CLINIC |
| Practice Address |
8716 E Mill Plain Blvd Vancouver WA 98664-2531 |
| Mailing Address |
400 Ne Mother Joseph Pl Vancouver WA 98664-3200 |
| Practice Telephone | 3606965138 |
| Practice Fax Number | 3606965237 |
| Mailing Telephone | 3606965138 |
| Mailing Fax Number | 3606965237 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LONNYE FINNEMAN (ASSISTANT DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 3605142225 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
8716 E MILL PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407893001 | Caleb Liem | Obstetrics & Gynecology | 8716 E Mill Plain Blvd, Relief Position Only, Vancouver, WA 98668 | 2006-06-01 |
| 1902424849 | Alison Katie Nastos | Registered Nurse | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2020-07-07 |
| 1083087811 | Abbey Horner | Pharmacist | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2015-11-02 |
| 1134597982 | Natalie Marie Cardoza | Pharmacist | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2015-09-10 |
| 1205218096 | Christine Trabucco | Dietitian, Registered | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2015-06-29 |
| 1386034601 | Dineen Traci Hinsa | Pharmacist | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2015-01-24 |
| 1124449004 | Susan Rylander | Dietitian, Registered | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2013-12-19 |
| 1083042089 | Dynamic Foot and Ankle LLC | Podiatrist | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2013-10-29 |
| 1245674498 | Adrian Marie Krutz | Nurse Practitioner | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2013-04-18 |
| 1609138064 | Austin Thomas Horner | Pharmacist | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2012-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497270151 | 180 Bodyworks LLC | Clinic/Center | 4001 Main St Ste 216, Vancouver, WA 98663-1888 | 2017-08-03 |
| 1205283413 | Nw Lifestyle Massage & Reiki | Clinic/Center | 1104 Main St Ste G50, Vancouver, WA 98660-2976 | 2016-05-17 |
| 1619279197 | Vancouver Spinal Care | Clinic/Center | 1610 C St Ste 103, Vancouver, WA 98663-3400 | 2010-12-03 |
| 1366616922 | Proactive Care Chiropractic | Clinic/Center | 808 Se Chkalov Dr., Suite 1, Vancouver, WA 86383 | 2008-04-15 |
| 1962915389 | Baby Nest LLC | Clinic/Center | 132 W 23rd St, Vancouver, WA 98660-2621 | 2017-11-07 |
| 1972962165 | Cowlitz Indian Tribe | Clinic/Center | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2016-02-16 |
| 1790153138 | Vancouver Wellness Clinic, LLC | Clinic/Center | 304 E 37th St, Vancouver, WA 98663-2212 | 2015-09-02 |
| 1982080511 | Enrique Juarez | Clinic/Center | 6307 Ne 117th Ave Ste C, Vancouver, WA 98662-5500 | 2015-08-05 |
| 1649535683 | Full Potential Occupational Therapy Pllc | Clinic/Center | 410 E 20th St, Vancouver, WA 98663-3316 | 2012-07-05 |
| 1588802656 | Hazel Dell Therapeutic Massage | Clinic/Center | 6202 Ne Highway 99 Ste 4, Vancouver, WA 98665-8747 | 2009-01-28 |
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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.