Healthcare Provider Details

I. General information

NPI: 1285379727
Provider Name (Legal Business Name): GABBERT CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2022
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 NE GREENWOOD DR STE 220
VANCOUVER WA
98662-7904
US

IV. Provider business mailing address

7710 NE GREENWOOD DR STE 220
VANCOUVER WA
98662-7904
US

V. Phone/Fax

Practice location:
  • Phone: 360-207-1554
  • Fax: 360-583-3442
Mailing address:
  • Phone: 360-207-1554
  • Fax: 360-583-3442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMY GABBERT
Title or Position: CERTIFIED HAND THERAPIST
Credential: OTR/L, CHT
Phone: 360-207-1554