Unique Services of Vancouver Inc

Primary specialty

Chore ProviderTaxonomy code 372500000X

License

IS-458 Issued in WA

Legal business name

UNIQUE SERVICES OF VANCOUVER INC

Practice address

2102 E McLoughlin Blvd
Vancouver, WA 98661-4130

Phone

(360) 696-0534

Fax

(360) 694-6830

NPI assigned

Mar 12, 2008

Last updated

Mar 12, 2008By 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

Thor Kelly

Title

Administrator

Phone

(360) 696-0534

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1205007788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2583",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986682583",
            "telephone_number": "360-696-0534",
            "fax_number": "360-694-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 E MCLOUGHLIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614130",
            "telephone_number": "360-696-0534",
            "fax_number": "360-694-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE SERVICES OF VANCOUVER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "THOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-696-0534"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "WA",
            "license": "IS-458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Davis Hurst Underwood, MD
• Cheyanne Underwood
• Trevor Underwood
• Kelsey Unger
• Unique Healing Massage LLC
• United Seating and Mobility, LLC (Numotion)
• United Sleep Apnea Services
• University Professional Services (University Professional Services in SW Washington)
• Jaykumar Unni
• Terri Up

• Chore Provider in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chore Provider in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.