Pacific Pediatric Feeding Team
Clinic/Center, Multi-Specialty in Vancouver, WA. Organization (NPI-2).
NPI number1164039640
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1164039640
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Pediatric Feeding Team
- Organization subpart
- No
- Enumeration date
- Sep 28, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Sep 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
400 E Evergreen Blvd Ste 207Vancouver, WA 98660-3264
Phone 971-236-2831 · Fax 360-991-0016
Mailing address
400 E Evergreen Blvd Ste 207Vancouver, WA 98660-3264
Phone 971-236-2831 · Fax 360-991-0016
Authorized official
Joanna Rasmussen
Speech Pathologist, Owner
9712362831
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