Creekside Medical, P.S. in Vancouver - Internal Medicine
Creekside Medical, P.S. - NPI 1760529374
Creekside Medical, P.S. is a Internal Medicine in Vancouver, Washington. Creekside Medical, P.S. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Creekside Medical, P.S. is 1760529374. The last update date is 2014-07-23.
Creekside Medical, P.S.'s current location address is 900 Ne 139th St, Vancouver, Washington. You can contact this provider via phone number 3605669355 and fax number 3608161327. The mailing address for Creekside Medical, P.S. is 900 Ne 139th St, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creekside Medical, P.S. |
|---|---|
| Address | 900 Ne 139th St, Vancouver, Washington |
| Phone Number | 3605669355 |
| Fax Number | 3608161327 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC MAN |
|---|---|
| Authorized Official Name | Davis Carol |
| Telephone Number | 3605669355 |
NPI Number Detail
| NPI Number | 1760529374 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2014-07-23 |
Provider Mailing Address Detail
| Address | 900 Ne 139th St |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986852513 |
| Phone Number | 3605669355 |
| Fax Number | 3608161327 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Creekside Medical, P.S.'s 1760529374?
The Creekside Medical, P.S.'s NPI (National Provider Identifier) Number is 1760529374. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Creekside Medical, P.S.'s facilities are geographically located?
The facilities of Creekside Medical, P.S. are physically situated at the following location: 900 Ne 139Th St, Vancouver, WA, 986852513.
What is Creekside Medical, P.S.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Creekside Medical, P.S. is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
When was the Creekside Medical, P.S.'s 1760529374 issued?
The Creekside Medical, P.S.'s 1760529374 was issued on 2007-01-31.
As of what date were the details related to Creekside Medical, P.S. most recently updated or revised?
The information pertaining to Creekside Medical, P.S., including its address, specialty, and other relevant details, was last updated or revised on 2014-07-23.