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1992759427

NPI Code Detail

MEDICARE: THE VANCOUVER CLINIC INC PS

MEDICARE: THE VANCOUVER CLINIC INC PS

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	207N00000X	Dermatology Physician
2	207Q00000X	Family Medicine Physician
3	207RC0000X	Cardiovascular Disease Physician
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
5	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
6	207RG0100X	Gastroenterology Physician
7	207RH0003X	Hematology & Oncology Physician
8	207RI0011X	Interventional Cardiology Physician
9	207RI0200X	Infectious Disease Physician
10	207RN0300X	Nephrology Physician
11	207V00000X	Obstetrics & Gynecology Physician
12	207RP1001X	Pulmonary Disease Physician
13	207RR0500X	Rheumatology Physician
14	207Y00000X	Otolaryngology Physician
15	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	490003735	OTHER	WA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	42100	OTHER	WA	L & I
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992759427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE VANCOUVER CLINIC INC PS

Provider Business Mailing Address
First Line	:	700 NE 87TH AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-1913
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:	360-604-1771

Provider Business Practice Location Address
First Line	:	700 NE 87TH AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-1913
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:	360-604-1771

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	DR. ALFRED SEEKAMP
Credential	:	MD
Telephone Number	:	360-397-5532

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	12/15/2016

Similar Medicare Providers

1447255112 — LEWIS MARK STEINBERG MD
Practice Location Address:

700 NE 87TH AVE
VANCOUVER, WA
98664-1913

Practice Phone: 360-882-2778
Practice Fax: 360-604-1728

1801894050 — DR. CHRISTOPHER JOHN LAMY D.P.M.
Practice Location Address:

700 NE 87TH AVE
VANCOUVER, WA
98664-1913

Practice Phone: 360-882-2778
Practice Fax: 360-604-1668

1275526360 — DOUGLAS G WYSHAM MD
Practice Location Address:

700 NE 87TH AVE
VANCOUVER, WA
98664-1913

Practice Phone: 360-882-3662
Practice Fax:

1841283777 — JENNIFER SANTOS MARSTON PT
Practice Location Address:

700 NE 87TH AVE , STE. 350
VANCOUVER, WA
98664-1913

Practice Phone: 360-882-2778
Practice Fax: 360-604-1757

1881687473 — MS. SAMANTHA JOAN MILLER CNM
Practice Location Address:

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VANCOUVER, WA
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Practice Phone: 360-397-1500
Practice Fax: 360-604-1653

1245229137 — DR. GANG YE MD
Practice Location Address:

700 NE 87TH AVE
VANCOUVER, WA
98664-1913

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1376532093 — DR. NEIL NELSON SAAVEDRA SALDUA M.D.
Practice Location Address:

700 NE 87TH AVE
VANCOUVER, WA
98664-1913

Practice Phone: 360-882-2778
Practice Fax: 360-604-1697

Directions to “THE VANCOUVER CLINIC INC PS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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