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Contact Information

NATHAN AMBROSE, PA-C
200 NE MOTHER JOSEPH PL STE 110
VANCOUVER, WA98664-3293
 Phone: 360-254-6161
 Fax: 360-803-0847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NATHAN AMBROSE · (Male)

NPI Number 1285229500
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/08/2021
Last updated 10/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # PA208018
  • WA License # PA61409222
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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