Pacific Gastroenterology Pllc
LBN: Pacific Gastroenterology Pllc
Pacific Gastroenterology Pllc is an health care organization with primary practice located at 814 Ne 87Th Ave , Vancouver WA 98664-1915. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Pacific Gastroenterology Pllc can be contacted via phone (360) 823-0880, or through Ferdows, Mehdi S via phone (360) 823-0880.
Contact Information
Primary practice address
814 Ne 87Th Ave
Vancouver WA 98664-1915
Phone: (360) 823-0880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD000411 | Washington |
Profile Details
| NPI number | 1275715526 |
|---|---|
| LBN Legal business name | Pacific Gastroenterology Pllc |
| DBA Doing business as | |
| Authorized official | Ferdows, Mehdi S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Jan 2nd, 2008 - about 18 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 | 1275715526 | NPPES |
| Washington | MEDICAID | 7134794 |
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