Adam Spach Wilson in Vancouver - Otolaryngology
Adam Spach Wilson - NPI 1790745933
Adam Spach Wilson is a Otolaryngology in Vancouver, Washington. Adam Spach Wilson practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Adam Spach Wilson is 1790745933. The last update date is 2007-07-08.
Adam Spach Wilson's current location address is 1405 Se 164th Ave Ste 102, Vancouver, Washington. You can contact this provider via phone number 3602564425 and fax number 3602541844. The mailing address for Adam Spach Wilson is 1405 Se 164th Ave Ste 102, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adam Spach Wilson |
|---|---|
| Address | 1405 Se 164th Ave Ste 102, Vancouver, Washington |
| Phone Number | 3602564425 |
| Fax Number | 3602541844 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790745933 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1405 Se 164th Ave Ste 102 |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986839644 |
| Phone Number | 3602564425 |
| Fax Number | 3602541844 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | MD00034230 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 98683A007 | WA | TRIWEST | |
| 300151208 | OR | REGENCE HMOO | |
| 11826007 | OR | REGENCE BLUE CROSS OF OR | |
| 8197287 | WA | -- | |
| 130871 | WA | WA DEPT OF LABOR & INDUST |
Post Comment/ Review Below
What is the unique provider identifier assigned to Adam Spach Wilson?
The Adam Spach Wilson has been issued the NPI (National Provider Identifier) 1790745933 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Adam Spach Wilson is physically located?
The Adam Spach Wilson is situated at the following address: 1405 Se 164Th Ave Ste 102, Vancouver, WA 986839644.
What is Adam Spach Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Adam Spach Wilson is Otolaryngology, and the corresponding taxonomy classification code for this specialized field is 207Y00000X.
When was the Adam Spach Wilson's 1790745933 issued?
The Adam Spach Wilson's 1790745933 was issued on 2006-03-23.
As of what date was the information regarding Adam Spach Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Adam Spach Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.