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Contact Information

OPEN ADVANCED MRI OF VANCOUVER PS
221 NE 104TH AVE
STE 106
VANCOUVER, WA98664-4505
 Phone: 503-246-6666
 Fax: 506-246-9465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
Indicates primary specialty

NPI Profile & details for OPEN ADVANCED MRI OF VANCOUVER PS · (Female)

NPI # 1508203944
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2013
Last updated 08/17/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # MD00038333
  • WA Medicaid 8251449
  • OR Other R171792 MEDICARE PTAN
  • WA Other G8886867 MEDICARE PTAN
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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