Vancouver Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VANCOUVER CLINIC INC

Practice address

One Center Court
Suite 110
Portland, OR 97227

Phone

(503) 732-6863

NPI assigned

Apr 30, 2008

Organization subpart

Yes

Parent organization

VANCOUVER CLINIC INCAs reported in NPPES

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

Authorized official

Name

Dr. Sharon Crowell, MD

Title

Chairman of the Board

Phone

(360) 397-1500

Specialties & licenses 1

Addresses

Other names 1

• ROSE QUARTER Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Vancouver Clinic Inc PS

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1992759427

  O20040127001069

  Same enrollment

Part of

Vancover Clinic Inc

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1760658736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE 87TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641913",
            "telephone_number": "360-397-3352",
            "fax_number": "360-601-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CENTER COURT",
            "address_2": "SUITE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97227",
            "telephone_number": "503-732-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANCOUVER CLINIC INC",
        "enumeration_date": "2008-04-30",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "360-397-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSE QUARTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julia M Vance, MS, CNM
• Keeona G Vance
• Terrill Lana Vance, LMT
• Vienna Rose Vance
• Charlotte Vancleve, PMHNP
• Vancouver Home Health Care Agency LLC
• Daniel Gregg Vandaam
• Edward Vandehey
• Tara R Vandehey, CADC II/QMHP
• Emily Vandekieft

• Internal Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.