NPIMap

Organization Active NPI

180 Bodyworks LLC

  • Health Service Clinic/Center
  • Vancouver, WA
National Provider Identifier
1497270151
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MA60288718 Issued in WA
Legal business name
180 BODYWORKS LLC
Practice address
4001 Main St Ste 216
Vancouver, WA 98663-1888
Phone
(360) 609-8343
NPI assigned
Aug 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
Mrs. Ashley Anne Merklin, LMP
Title
Owner
Phone
(360) 609-8343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MA60288718 WA Primary

Addresses

Primary practice location

4001 Main St Ste 216
Vancouver, WA 98663-1888

Mailing address

2504 34TH St
Washougal, WA 98671-9157

National Provider Directory

National Provider Directory

Locations

4001 Main St
Ste 216
Vancouver, WA 98663
Phone (360) 609-8343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1497270151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 34TH ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986719157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MAIN ST STE 216",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986631888",
            "telephone_number": "360-609-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "180 BODYWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "MERKLIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-609-8343",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "MA60288718",
            "primary": true
        }
    ],
    "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 Aug 3, 2017; 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.