NPIMap

Organization Active NPI

Pacific Phoenix Group PLLC

Doing business as Pacific Phoenix Psychiatry

  • Psychiatry Physician
  • Vancouver, WA
National Provider Identifier
1235765280
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PACIFIC PHOENIX GROUP PLLC
Doing business as
Pacific Phoenix Psychiatry
Pacific Phoenix Psychiatry & TMS
TMS Services of Vancouver
Practice address
1499 SE Tech Center PL Ste 190
Vancouver, WA 98683-5529
Phone
(360) 773-6340
Fax
(360) 326-2606
NPI assigned
Mar 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Dr. Oleg N Zbirun, MDNPI 1760635833
Title
Cfo
Phone
(425) 507-7848

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary
Addiction Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0802X

Addresses

Primary practice location

1499 SE Tech Center PL Ste 190
Vancouver, WA 98683-5529

Mailing address

16420 SE McGillivray Blvd Ste 103-253
Vancouver, WA 98683-3461
Phone (425) 507-7848

Other practice location 1

8524 Steilacoom Blvd SW Ste 102B
Lakewood, WA 98498-4772
Phone (360) 828-7802

Other practice location 2

2501 NE 134th St Ste 104
Vancouver, WA 98686-3027
Phone (360) 828-7802

Other names 3

  • Pacific Phoenix Psychiatry Doing business as
  • Pacific Phoenix Psychiatry & TMS Doing business as
  • TMS SERVICES OF VANCOUVER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230823001582 WA Part B Supplier - Clinic/Group Practice 5799148854 Receives reassigned benefits from 8 practitioners
Practice locations: Lakewood, WA; Vancouver, WA

National Provider Directory

National Provider Directory

Locations

8524 Steilacoom Blvd SW
Ste 102B
Lakewood, WA 98498
Phone (253) 237-3348

1499 SE Tech Center Pl
Ste 190
Vancouver, WA 98683
Phone (360) 773-6340

16420 SE McGillivray Blvd
Ste 103253
Vancouver, WA 98683

601 Main St
Ste 505
Vancouver, WA 98660
Phone (360) 750-0032

2501 NE 134th St
Ste 104
Vancouver, WA 98686
Phone (360) 828-7802

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1235765280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 SE MCGILLIVRAY BLVD STE 103-253",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833461",
            "telephone_number": "425-507-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 SE TECH CENTER PL STE 190",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835529",
            "telephone_number": "360-773-6340",
            "fax_number": "360-326-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8524 Steilacoom Blvd SW Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984984772",
            "country_code": "US",
            "telephone_number": "360-828-7802",
            "fax_number": "360-326-2606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 NE 134th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863027",
            "country_code": "US",
            "telephone_number": "360-828-7802",
            "fax_number": "360-326-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC PHOENIX GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "ZBIRUN",
        "authorized_official_first_name": "OLEG",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-507-7848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Phoenix Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Phoenix Psychiatry & TMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TMS SERVICES OF VANCOUVER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.