National Provider Identifier Database

MOBILEHEALTHCAREPROVIDERSNORTHWEST
Voluntary or Charitable


Contact Information

MOBILEHEALTHCAREPROVIDERSNORTHWEST
415 SE 177TH AVE
VANCOUVER, WA98683-4201
Phone: 360-980-2441
Fax: 877-491-4990
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for MOBILEHEALTHCAREPROVIDERSNORTHWEST

NPI Number 1487060901
Legal business name
LBN
MOBILEHEALTHCAREPROVIDERSNORTHWEST
Authorized official MARY BUCKLAND - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 07/03/2014
Last updated 01/26/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 603288428

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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