Blue Pearl Vancouver

Primary specialty

SpecialistTaxonomy code 174400000X

License

602889432 Issued in WA

Legal business name

BLUE PEARL VANCOUVER

Practice address

6607 NE 84TH St
Suite 109
Vancouver, WA 98665-2018

Phone

(360) 694-3007

Fax

(360) 735-7420

NPI assigned

Sep 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Heiting

Title

Sr Financial Coordinator/Systems MN

Phone

(360) 694-3007

Specialties & licenses 1

Addresses

Other names 1

• Columbia River Veterinary Specialists Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustine Spencer, DVM

  • Surgery Physician
  • Vancouver, WA
  • NPI 1225755101
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1043769334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 NE 84TH ST",
            "address_2": "SUITE 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986652018",
            "telephone_number": "360-694-3007",
            "fax_number": "360-735-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 NE 84TH ST",
            "address_2": "SUITE 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986652018",
            "telephone_number": "360-694-3007",
            "fax_number": "360-735-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE PEARL VANCOUVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "HEITING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SR FINANCIAL COORDINATOR/SYSTEMS MN",
        "authorized_official_telephone_number": "360-694-3007"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "602889432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia River Veterinary Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tammy Lee Bloom, M.D.
• Blossoming Growth, PLLC
• Nathanielle Louise Blouin, PHARMD
• Cynthia Ann Blowers, CBT
• Blue Jay Speech & Language Therapy Services, LLC
• Blue Sage Massage LLC
• Blue Wave Bodywork
• Lyron Blum-Evitts, LMHCA
• KC Bly, CNM
• Stephanie Hughes Boak, M.ED, LMHC

• Specialist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.