Victor Bothe, BC-HIS ACA

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA00000626 Issued in WA

Practice address

12503 SE Mill Plain Blvd Ste 220
Vancouver, WA 98684-4007

Phone

(360) 567-1717

Fax

(360) 567-0977

NPI assigned

Feb 18, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1679964274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844007",
            "telephone_number": "360-567-1717",
            "fax_number": "360-567-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844007",
            "telephone_number": "360-567-1717",
            "fax_number": "360-567-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTHE",
        "first_name": "VICTOR",
        "credential": "BC-HIS ACA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA00000626",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "358223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Mitsue Kekuaaokalani Bosque, DC
• Ruth Bossert, PTA
• Jordan Taylor Bossmann, DPT
• David R Boston, MD
• Emanuela Botez, PHARM.D.
• Alyson Bothman, OTR/L
• Cidalia Billie Joe Bothner
• Misty Bottorff, LICSW, LCSW
• Cynthia Lee Botts, SUDP
• Jacob Raymond Daniel Boucher, BS PSYCHOLOGY

• Hearing Instrument Specialist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Hearing Instrument Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.