ALEKSANDR MARCHUK (NPI# 1801302419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801302419 |
| Entity Type | Individual |
| Full Name | ALEKSANDR MARCHUK |
| Practice Address |
14807 Ne 87th St Vancouver WA 98682-3443 |
| Practice Telephone | 5038078211 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 81-4785489 | 05 |
| Street Address |
14807 NE 87TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98682-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230625 | Helen Trinidad Uy | Registered Nurse | 15814 Ne 72nd St., Vancouver, WA 98682 | 2020-09-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
| 1285095000 | Julia Melinda Zamora | Naturopath | 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 | 2016-03-08 |
| 1871999243 | Jumana Sayyam | Counselor | 13114 Ne 41st St, Vancouver, WA 98682 | 2014-11-13 |
| 1679998538 | Chris Briggs | Massage Therapist | 6700 N.e. 162 Ave, Suite 415, Vancouver, WA 98682 | 2014-02-28 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1821336736 | Carol Lynn Fischer | Occupational Therapist | 13501 Ne 28th Street, Vancouver, WA 98682 | 2013-01-28 |
| 1336412485 | Erica Paige Schmidt | Massage Therapist | 13025 Ne 4th Plain Blvd, Suite 102, Vancouver, WA 98682 | 2012-02-21 |
| 1669767828 | Scott Germann | Contractor | 15410 Ne 85th Street, Vancouver, WA 98682 | 2011-06-16 |
| Find all providers in zip 98682 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804578 | Aurita Estudillo Tagle | Custodial Care Facility | 7015 Carolina Ln, Vancouver, WA 98664-1558 | 2019-11-02 |
| 1427516962 | Evangeline Royon Plunkett | Custodial Care Facility | 5912 Ne 112th St, Vancouver, WA 98686-5953 | 2019-03-04 |
| 1164803383 | Rite Choice Ventilator Specialty LLC Afh | Custodial Care Facility | 15208 Ne 25th Cir, Vancouver, WA 98684-7884 | 2015-06-12 |
| 1568862134 | Divinity Adult Family Home, LLC | Custodial Care Facility | 5902 Kansas St, Vancouver, WA 98661-6918 | 2014-09-02 |
| 1154737930 | Diana Mocan | Custodial Care Facility | 3911 Se 157th Ave, Vancouver, WA 98683-5310 | 2014-07-01 |
| 1366865644 | Lilia L. Ortega Rnd | Custodial Care Facility | 3703 Columbia St, Vancouver, WA 98660-1965 | 2014-01-23 |
| 1396179222 | Jg&m Corporation | Custodial Care Facility | 9600 Ne 113th Ave, Vancouver, WA 98662-2258 | 2013-08-28 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1922391408 | Evergreen Quality Home | Custodial Care Facility | 304 Nw 102nd St, Vancouver, WA 98685-5233 | 2011-05-17 |
| 1447426291 | Viorica Halmagean | Custodial Care Facility | 4019 Ne Pacific Way, Vancouver, WA 98662 | 2008-05-01 |
| 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.