MEDICARE: APY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1326996612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APY PC

Provider Business Mailing Address
First Line	:	4311 NE 39TH AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98661-3111
Country	:	US
Telephone Number	:	971-267-7169
Fax Number	:	360-694-4233

Provider Business Practice Location Address
First Line	:	4805 NE ST JAMES RD
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98663-2155
Country	:	US
Telephone Number	:	360-693-2544
Fax Number	:	360-694-4233

Authorized Official
Title or Position	:	OFFICE STAFF
Name	:	PAULINE ELHAMADY
Credential	:
Telephone Number	:	360-693-2544

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “APY PC ” Practice Location

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