Active NPI
Cellutions Vancouver, PLLC
- Clinic/Center
- Vancouver, WA
National Provider Identifier
1134616477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- CELLUTIONS VANCOUVER, PLLC
- Practice address
- 2621 NE 134TH St Ste 100
Vancouver, WA 98686-3036 - Phone
- (800) 280-0797
- Fax
- (360) 450-4084
- NPI assigned
- Apr 20, 2018
- 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
- Jeff Tunick, DC
- Title
- Managing Member
- Phone
- (360) 464-1492
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X | AP60790564 | WA |
Addresses
Primary practice location
2621 NE 134TH St Ste 100
Vancouver, WA 98686-3036
Mailing address
2621 NE 134TH St Ste 100
Vancouver, WA 98686-3036
Phone (800) 280-0797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578954657 | Other | NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524182400000",
"number": "1134616477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 NE 134TH ST STE 100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863036",
"telephone_number": "800-280-0797",
"fax_number": "360-450-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 NE 134TH ST STE 100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863036",
"telephone_number": "800-280-0797",
"fax_number": "360-450-4084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CELLUTIONS VANCOUVER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-20",
"last_updated": "2018-04-20",
"status": "A",
"authorized_official_last_name": "TUNICK",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "360-464-1492",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60790564",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578954657",
"state": null
}
],
"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 Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.