Janus of SW Washington

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JANUS OF SW WASHINGTON

Practice address

10201 NE Fourth Plain Road
Vancouver, WA 98662

Phone

(360) 253-4036

Fax

(360) 253-9794

NPI assigned

May 5, 2009

Organization subpart

No

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

Authorized official

Name

Mr. William R. Waters

Title

Executive Director

Phone

(360) 253-4036

Specialties & licenses 1

Addresses

Other names 1

• Val Ogden Center Doing business as

Locations

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1487888491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 NE FOURTH PLAIN ROAD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "360-253-4036",
            "fax_number": "360-253-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 NE FOURTH PLAIN ROAD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "360-253-4036",
            "fax_number": "360-253-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUS OF SW WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-253-4036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Val Ogden Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Jankowski, O.D.
• Shannon Soper Jankowski, O.D.
• Tyler John Jansen, PSYD
• Lisa Janssen Carlson, PHARMD, RPH
• Dawn Marie Januik, RDH
• Stephen Jardin, LMP
• Ellis Burke Jardine, D.M.D.
• Olivia Jarett, PA-C
• Cailin Kelly Jarrell, FNP-BC, PMHNP-BC
• Jessica Danielle Jarrett, ND

• Community/Behavioral Health Agency in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.