Active NPI
Pacific Clinical Services PLLC
- Health Service Clinic/Center
- Vancouver, WA
National Provider Identifier
1124787635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- PACIFIC CLINICAL SERVICES PLLC
- Practice address
- 3801 Main St Ste a
Vancouver, WA 98663-2258 - Phone
- (360) 787-4777
- Fax
- (360) 857-0500
- NPI assigned
- Dec 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Coleman, RPH
- Title
- Pharmacist / Member
- Phone
- (360) 787-4777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
3801 Main St Ste a
Vancouver, WA 98663-2258
Mailing address
PO Box 2206
Woodland, WA 98674-0021
Phone (360) 787-4777
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Vancouver, WA
- NPI 1083053227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639267200000",
"number": "1124787635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2206",
"city": "WOODLAND",
"state": "WA",
"postal_code": "986740021",
"telephone_number": "360-787-4777",
"fax_number": "360-857-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 MAIN ST STE A",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632258",
"telephone_number": "360-787-4777",
"fax_number": "360-857-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC CLINICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-12",
"last_updated": "2021-12-12",
"certification_date": "2021-12-09",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "PHARMACIST / MEMBER",
"authorized_official_telephone_number": "360-787-4777",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.