Aethena Gynecology Associates, P.S.
LBN: Aethena Gynecology Associates, P.S.
Aethena Gynecology Associates, P.S. is an health care organization with primary practice located at 1498 Se Tech Center Place Suite 100, Vancouver WA 98683. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty.
Aethena Gynecology Associates, P.S. can be contacted via phone (360) 693-7878, or through Struxness, Leslie A via phone (360) 693-7878.
Contact Information
Primary practice address
1498 Se Tech Center Place Suite 100
Vancouver WA 98683
Phone: (360) 693-7878
Fax: (360) 892-5724
Website:
Authorized official contact:
Name: Struxness, Leslie A Doctor of Medicine (MD)
Phone: (360) 693-7878
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP30003214 | Washington |
Profile Details
| NPI number | 1710190103 |
|---|---|
| LBN Legal business name | Aethena Gynecology Associates, P.S. |
| DBA Doing business as | |
| Authorized official | Struxness, Leslie A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Sep 29th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710190103 | NPPES |
| Washington | MEDICAID | 7124332 |
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