=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326996612
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APY PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2026
-----------------------------------------------------
Last Update Date | 03/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4805 NE ST JAMES RD
-----------------------------------------------------
City | VANCOUVER
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98663-2155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-693-2544
-----------------------------------------------------
Fax | 360-694-4233
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4311 NE 39TH AVE
-----------------------------------------------------
City | VANCOUVER
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98661-3111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 971-267-7169
-----------------------------------------------------
Fax | 360-694-4233
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE STAFF
-----------------------------------------------------
Name | PAULINE ELHAMADY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 360-693-2544
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------