Vancouver Wellness Clinic, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

NT60545534 Issued in WA

Legal business name

VANCOUVER WELLNESS CLINIC, LLC

Practice address

304 E 37TH St
Vancouver, WA 98663-2212

Phone

(360) 882-4642

Fax

(360) 892-6415

NPI assigned

Sep 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ericha Clare, ND, LACNPI 1548668882

Title

Physician/Owner

Phone

(360) 882-4642

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Ericha Clare, ND, LAC

  • Naturopath
  • Clackamas, OR
  • NPI 1548668882
  NPD (past) Authorized official

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1790153138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E 37TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632212",
            "telephone_number": "360-882-4642",
            "fax_number": "360-892-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E 37TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632212",
            "telephone_number": "360-882-4642",
            "fax_number": "360-892-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "CLARE",
        "authorized_official_first_name": "ERICHA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "360-882-4642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "NT60545534",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "AC60545576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vancouver Sleep Center, LLC
• Vancouver Spinal Care
• Vancouver Spine & Orthopedic Rehabilition Center, PLLC
• Vancouver Vein & Surgical Center
• Vancouver Voice Works PLLC
• Vancouver Wellness Studio, PLLC
• Helene E Vandeberg, CP RC
• Nichole Dianne Vandel, SUDPT
• Isabelle Rose Vanden Branden, MS
• Luke Aaron Vander Weide, PHARM.D.

• Health Service Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.