VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC (NPI# 1639268469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639268469 |
| Entity Type | Organization |
| Organization Name | VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC |
| Other Organization Name | VANCOUVER EAR, NOSE & THROAT HEAD & NECK SURGERY CENTER |
| Practice Address |
14411 Ne 20th Ave Ste 101 Vancouver WA 98686-6432 |
| Mailing Address |
1405 Se 164th Ave Ste 102 Vancouver WA 98683-9644 |
| Practice Telephone | 3602564425 |
| Practice Fax Number | 3602607249 |
| Mailing Telephone | 3602564425 |
| Mailing Fax Number | 3602607249 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-10-29 |
| Authorized Official Name | MS. KAREN KENNEDY (PRACTICE MANAGER) |
| Authorized Official Telephone | 3604496612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA DEPT OF L&I | 204729 | 01 |
| WA | 7135502 | 05 | |
| WA | WA CRIME VICTIMS | 8940474 | 01 |
| Other Name | Type Code |
|---|---|
| Vancouver Ear, Nose & Throat Head & Neck Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780755876 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-9644 | 2006-11-13 |
| 1265527162 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 1405 Se 164th Ave Ste 102, Vancouver, WA 98683-9644 | 2006-10-04 |
| 1861587719 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 14411 Ne 20th Ave, Suite 101, Vancouver, WA 98686-6431 | 2006-10-04 |
| Street Address |
14411 NE 20TH AVE STE 101 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-6432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093828170 | Lourdes M Herrera | Physical Therapist | 14411 Ne 20th Ave Ste 101, Vancouver, WA 98686-6432 | 2006-08-16 |
| 1487171070 | Nicole Renee Fox | Audiologist | 14411 Ne 20th Ave Ste 101, Vancouver, WA 98686-6432 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700910460 | Vancouver Plastic Surgery Clinic Ps | Clinic/Center | 3100 Main St, Vancouver, WA 98663-2752 | 2007-03-15 |
| 1669427043 | Vancouver Eye Care Ps | Clinic/Center | 17720 Se Mill Plain, Suite 100, Vancouver, WA 98683 | 2006-05-23 |
| 1588029870 | Pacific Gastroenterology Pllc | Clinic/Center | 8506 E Mill Plain Blvd, Suite C, Vancouver, WA 98664-2011 | 2015-12-31 |
| 1124438684 | Vancouver Dental Surgery Center | Clinic/Center | 14411 Ne 20th Ave, Suite 107, Vancouver, WA 98686-6431 | 2014-05-05 |
| 1962706655 | Advanced Gastroenterology | Clinic/Center | 2415 Ne 134th St, Suite 205, Vancouver, WA 98686-3025 | 2011-01-10 |
| 1558552380 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | Clinic/Center | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-9644 | 2007-08-07 |
| 1821289653 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | Clinic/Center | 14411 Ne 20th Ave, Suite 101, Vancouver, WA 98686-6431 | 2007-08-07 |
| 1265527162 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 1405 Se 164th Ave Ste 102, Vancouver, WA 98683-9644 | 2006-10-04 |
| 1366536880 | Southwest Washington Regional Surgery Center, LLC | Clinic/Center | 200 Ne Mother Joseph Place, Suite 200, Vancouver, WA 98664-3294 | 2006-10-02 |
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| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
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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.