Performance Occupational Health Services LLC

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

Legal business name

PERFORMANCE OCCUPATIONAL HEALTH SERVICES LLC

Practice address

11109 NE 14TH St Ste a
Vancouver, WA 98684-4366

Phone

(360) 334-7001

Fax

(360) 450-3357

NPI assigned

Oct 5, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Charise Brenes

Title

President

Phone

(360) 334-7001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1144795196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 NE 14TH ST STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844366",
            "telephone_number": "360-334-7001",
            "fax_number": "360-450-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 NE 14TH ST STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844366",
            "telephone_number": "360-334-7001",
            "fax_number": "360-450-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE OCCUPATIONAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "BRENES",
        "authorized_official_first_name": "CHARISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-334-7001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Perez
• Jillian Perez
• Shaianne Perez
• Tavia Perez
• Performance Modalities Inc
• Oxana V Perian, RC
• Catalina Perilla-Suarez
• Joseph Fred Perin Sr., D.C.
• Periodontal Concepts
• Breanna Perkins, HEARING INSTRUMENT S

• Occupational Health Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Occupational Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.