NPIMap

Organization Active NPI

Family Wellness Center PC

  • Family Medicine Physician
  • Vancouver, WA
National Provider Identifier
1629110945
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY WELLNESS CENTER PC
Practice address
1000 SE Tech Center Dr
Suite 120
Vancouver, WA 98683-5547
Phone
(360) 260-2773
Fax
(360) 260-2217
NPI assigned
Feb 13, 2007
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Cyndi Williams
Title
Credentialing Coordinator
Phone
(360) 260-2773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WA Primary

Addresses

Primary practice location

1000 SE Tech Center Dr
Suite 120
Vancouver, WA 98683-5547

Mailing address

1000 SE Tech Center Dr
Suite 120
Vancouver, WA 98683-5547
Phone (360) 260-2773

National Provider Directory

National Provider Directory

Locations

1000 SE Tech Center Dr
Vancouver, WA 98683
Phone (360) 260-2273

Practitioners & affiliated clinicians

Practitioners 7

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1629110945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SE TECH CENTER DR",
            "address_2": "SUITE 120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835547",
            "telephone_number": "360-260-2773",
            "fax_number": "360-260-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SE TECH CENTER DR",
            "address_2": "SUITE 120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835547",
            "telephone_number": "360-260-2773",
            "fax_number": "360-260-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CYNDI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "360-260-2773"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "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 13, 2010; 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.