DR GARY R WINEBRENNER, PC (NPI# 1831374719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831374719 |
| Entity Type | Organization |
| Organization Name | DR GARY R WINEBRENNER, PC |
| Other Organization Name | HEALTHY LIFE CLINIC |
| Practice Address |
406 Se 131st Ave Suite 109 Vancouver WA 98683-4004 |
| Practice Telephone | 3602130021 |
| Practice Fax Number | 3602131269 |
| Mailing Telephone | 3602130021 |
| Mailing Fax Number | 3602131269 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | DR. GARY ROBERT WINEBRENNER (PRESIDENT) |
| Authorized Official Telephone | 3602130021 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
CH00034321 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Healthy Life Clinic | Doing Business As Name - Organization |
| Street Address |
406 SE 131ST AVE SUITE 109 |
| 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 |
| 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 |
| 1083824320 | Northwest Physician Clinic, LLC | Preventive 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 | 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 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on DR GARY R WINEBRENNER, PC.
| 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.