Individual provider Active NPI

Wendy Ann Wanlass, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Vancouver, WA
National Provider Identifier
1477658961
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD00035429 Issued in WA
Practice address
1603 Fourth Plain Blvd
VA Medical Center Nscu
Vancouver, WA 98661
Phone
(803) 220-8262
Fax
(360) 737-1426
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD00035429 WA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD12642 OR

Addresses

Primary practice location

1603 Fourth Plain Blvd
VA Medical Center Nscu
Vancouver, WA 98661

Mailing address

PO Box 1035
Veterans Administration
Portland, OR 97207
Phone (503) 220-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD12642ORMDGeriatric Medicine (Internal Medicine) Physician
MD00035429WAMDGeriatric Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1477658961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1035",
            "address_2": "VETERANS ADMINISTRATION",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97207",
            "telephone_number": "503-220-8262",
            "fax_number": "360-737-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 FOURTH PLAIN BLVD",
            "address_2": "VA MEDICAL CENTER NSCU",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98661",
            "telephone_number": "803-220-8262",
            "fax_number": "360-737-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANLASS",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00035429",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "MD12642",
            "primary": false
        }
    ],
    "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 Jul 11, 2007; 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.