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Pacific Clinical Services PLLC

Clinic/Center, Health Services in Vancouver, WA. Organization (NPI-2).

NPI number1124787635
StatusActive
Last updated in NPPESDec 12, 2021

Details

NPI
1124787635
Entity type
Organization (NPI-2)
Legal business name
Pacific Clinical Services PLLC
Organization subpart
No
Enumeration date
Dec 12, 2021
Certification date
Dec 9, 2021
Last updated
Dec 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes
261Q00000X Clinic/Center––

Practice location

3801 Main St Ste A
Vancouver, WA 98663-2258

Phone 360-787-4777 · Fax 360-857-0500

Mailing address

Po Box 2206
Woodland, WA 98674-0021

Phone 360-787-4777 · Fax 360-857-0500

Authorized official

Janet Coleman
Pharmacist / Member
3607874777

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