PEACH WILLOW LLC


Address: 9015 E Mill Plain Blvd, Vancouver, WA 98664-2536
Phone: 3607735110

PEACH WILLOW LLC (NPI# 1932608049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932608049
Entity Type Organization
Organization Name PEACH WILLOW LLC
Other Organization Name PEACH WILLOW SPA
Practice Address 9015 E Mill Plain Blvd
Vancouver
WA 98664-2536
Practice Telephone 3607735110
Mailing Telephone 3607735110
Enumeration Date 2018-02-03
Last Update Date 2019-06-11
Authorized Official Name MR. JOHN GOODE (GENERAL MANAGER)
Authorized Official Telephone 3607735110
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247200000X Technician, Other 89329 WA Technologists, Technicians & Other Technical Service Providers

Other Provider/Organization Names

Other Name Type Code
Peach Willow Spa Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations PEACH WILLOW LLC 9015 E Mill Plain Blvd, Vancouver, WA 98664-2536

Office Location

Street Address 9015 E MILL PLAIN BLVD
City VANCOUVER
State WA
Zip Code 98664-2536

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154921054 Carolrene Reychelle Jordan Specialist/Technologist, Other 9015 E Mill Plain Blvd, Vancouver, WA 98664-2536 2020-10-29

Providers in the same zip code

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 Information

Taxonomy Code 247200000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other

Taxonomy Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376012351 Jennifer D English Technician, Other 9208 Ne Highway 99 Ste 107-78, Vancouver, WA 98665-8986 2018-11-19
1720508906 Dylan Howell Technician, Other 120 Ne 136th Ave Ste 220, Vancouver, WA 98684-6951 2017-06-20
1417428723 Michael Joseph Thomas Technician, Other 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2018-12-12
1609354653 Jeffrey Michael Carse Technician, Other 6926 Ne Frth Pln Blvd, Vancouver, WA 98661-7254 2018-08-01
1336663368 Samantha Morris Technician, Other 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 2017-08-01
1497276943 Jamila Riley Technician, Other 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 2017-07-05
1598286270 Kaylee Walker Technician, Other 120 Ne 136th Ave Ste 220, Vancouver, WA 98684-6951 2017-07-03
1215457049 Caleb Masnov Technician, Other 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 2017-06-22
1205356037 Kyrstina Faulk Technician, Other 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 2017-06-22
1780104513 Victoria Bergman Technician, Other 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 2017-06-22
Find all providers in VANCOUVER

Competitor

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City VANCOUVER
Zip Code 98664

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Dataset Information

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.

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