Healthcare Provider Details

I. General information

NPI: 1164963898
Provider Name (Legal Business Name): PINNACLE WOMEN'S THERAPEUTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 02/25/2024
Certification Date: 02/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 C ST STE 102
VANCOUVER WA
98663-3400
US

IV. Provider business mailing address

1610 C ST STE 102
VANCOUVER WA
98663-3400
US

V. Phone/Fax

Practice location:
  • Phone: 360-901-9753
  • Fax: 360-841-7075
Mailing address:
  • Phone: 360-901-9753
  • Fax: 360-841-7075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT10435
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. BUFFY J STINCHFIELD
Title or Position: PHYSICAL THERAPIST/ OWNER
Credential: P.T.
Phone: 360-901-9753