VANCOUVER WELLNESS CLINIC, LLC (NPI# 1790153138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790153138 |
Entity Type | Organization |
Organization Name | VANCOUVER WELLNESS CLINIC, LLC |
Practice Address |
304 E 37th St Vancouver WA 98663-2212 |
Practice Telephone | 3608824642 |
Practice Fax Number | 3608926415 |
Mailing Telephone | 3608824642 |
Mailing Fax Number | 3608926415 |
Enumeration Date | 2015-09-02 |
Last Update Date | 2017-03-20 |
Authorized Official Name | DR. ERICHA CLARE (PHYSICIAN/OWNER) |
Authorized Official Telephone | 3608824642 |
Authorized Official Credential | ND, LAC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QH0100X |
Clinic/Center Specialization: Health Service |
AC60545576 | WA | Ambulatory Health Care Facilities |
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
NT60545534 | WA | Ambulatory Health Care Facilities |
Street Address |
304 E 37TH ST |
City | VANCOUVER |
State | WA |
Zip Code | 98663-2212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942244504 | Donna Karcher | Massage Therapist | 304 E 37th St, Vancouver, WA 98663-2212 | 2006-06-15 |
1548668882 | Ericha Clare | Acupuncturist | 304 E 37th St, Vancouver, WA 98663-2212 | 2014-12-19 |
1790997401 | Kara Ann Sansbury | Massage Therapist | 304 E 37th St, Vancouver, WA 98663-2212 | 2007-05-04 |
1598875668 | Joan K Boullion | Massage Therapist | 304 E 37th St, Vancouver, WA 98663-2212 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
Find all providers in zip 98663 |
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 |
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 |
1083875009 | Sea-mar Community Health Center | Clinic/Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2008-06-23 |
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.