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Contact Information

PACIFIC PHOENIX GROUP PLLC
1499 SE TECH CENTER PL STE 190
VANCOUVER, WA98683-5529
 Phone: 360-773-6340
 Fax: 360-326-2606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PACIFIC PHOENIX GROUP PLLC · (Female)

NPI # 1235765280
Status Active
Credentials
Entity Individual
Enumeration date 03/20/2020
Last updated 02/03/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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