Healthcare Provider Details

I. General information

NPI: 1003036195
Provider Name (Legal Business Name): CLARK COUNTY CURRENT EXPENSE & CLARK COUNTY AUDITORS OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E FOURTH PLAIN BLVD BLDG 17 3RD FLOOR
VANCOUVER WA
98661-3713
US

IV. Provider business mailing address

PO BOX 9825
VANCOUVER WA
98666-8825
US

V. Phone/Fax

Practice location:
  • Phone: 360-397-8473
  • Fax: 360-397-8110
Mailing address:
  • Phone: 564-397-8473
  • Fax: 564-397-8110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JEFF N HARBISON
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 360-397-8475