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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

NPI # 1235765280
LBN Legal business name PACIFIC PHOENIX GROUP PLLC
Authorized official OLEG ZBIRUN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2020
Last updated 02/03/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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