Great West Family Care Pc

NPI 1427073840 - Family Medicine - 207Q00000X

NPI Details
NPI 1427073840
Enumeration Date 07/13/2006
Last Updated 12/29/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name REBECCA L REBECCA
Position PRESIDENT
Phone (360) 574-9730
Fax (360) 576-7662
Practice Location
14508 NE 20TH AVE
SUITE 102
VANCOUVER WA, 98686-6434, US
Phone (360) 574-9730
Fax (360) 576-7662
Business Location
14508 NE 20TH AVE
SUITE 102
VANCOUVER WA, 98686-6434, US
Phone (360) 574-9730
Fax (360) 576-7662
Toxanomy
Taxonomy Code 207Q00000X
License State Washington
License Number 602202713
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According to our database, Great West Family Care Pc NPI is 1427073840, taxonomy code is 207Q00000X and license number is 602202713, license state is located at Washington. Great West Family Care Pc physically located at 14508 Ne 20th Ave, Vancouver WA, 98686-6434. NPI Number 1033115704 has the healthcare provider type.

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1427073840 NPI number is provided on an as is basis without warranty of any kind. 1427073840 is maintained by the National Plan & Provider Enumeration System. The contents of Great West Family Care Pc are for informational purposes only.