Northwest Physician Clinic, LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

NORTHWEST PHYSICIAN CLINIC, LLC

Practice address

406 SE 131St Ave
Suite 203 B
Vancouver, WA 98683-4004

Phone

(360) 254-4402

Fax

(360) 892-9241

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence E. Foltz, D.O.NPI 1952376196

Title

President

Phone

(360) 944-6878

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence Edward Foltz, D.O.

  • Family Medicine Physician
  • Vancouver, WA
  • NPI 1952376196
  Authorized official Same address or phone

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083824320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SE 131ST AVE",
            "address_2": "SUITE 203 B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834004",
            "telephone_number": "360-254-4402",
            "fax_number": "360-892-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SE 131ST AVE",
            "address_2": "SUITE 203 B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834004",
            "telephone_number": "360-254-4402",
            "fax_number": "360-892-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHYSICIAN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOLTZ",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-944-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Medical Associates,PS
• Northwest Medical Inc (Western Medical Specialties Vancouver)
• Northwest Neurology and Sleep Clinic Inc (Northwest Neurology and Sleep Clinic)
• Northwest Nursing LLC
• Northwest Pain Relief Centers, LLC
• Northwest Rehabilitation Institute (N.W. Rehabilitation Institute & Physical Therapy)
• Northwest Royal Home Care, LLC
• Northwest Surgical Specialists PC (Rebound Spine, Sports & Regenerative Medicine)
• Northwest Surgical Specialists PC (Rebound Camas)
• Northwest Surgical Specialists PC (Rebound Salmon Creek)

• Public Health & General Preventive Medicine Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Public Health & General Preventive Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.