Vancouver Plastic Surgery Clinic PS

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VANCOUVER PLASTIC SURGERY CLINIC PS

Practice address

3100 Main St
Vancouver, WA 98663-2752

Phone

(360) 695-5754

Fax

(360) 695-1996

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Manjit Inder Singh Brar, MD

Title

President

Phone

(360) 695-5754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700910460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632752",
            "telephone_number": "360-695-5754",
            "fax_number": "360-695-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632752",
            "telephone_number": "360-695-5754",
            "fax_number": "360-695-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER PLASTIC SURGERY CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "MANJIT",
        "authorized_official_middle_name": "INDER SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-695-5754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.