NPIMap

Organization Active NPI

Cedar Family Medicine, Incorporated

  • Family Medicine Physician
  • Vancouver, WA
National Provider Identifier
1851341077
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00032812 Issued in WA
Legal business name
CEDAR FAMILY MEDICINE, INCORPORATED
Practice address
1404 NE 134TH St
#170
Vancouver, WA 98685-2799
Phone
(360) 573-1381
Fax
(360) 573-1384
NPI assigned
May 10, 2006
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Cynthia Woodson Colven, MDNPI 1104883552
Title
President
Phone
(360) 573-1381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00032812 WA Primary

Addresses

Primary practice location

1404 NE 134TH St
#170
Vancouver, WA 98685-2799

Mailing address

1404 NE 134TH St
#170
Vancouver, WA 98685-2799
Phone (360) 573-1381

Other names 1

  • Family Health Clinic, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

1404 NE 134th St
Ste 170
Vancouver, WA 98685
Phone (360) 573-1381

Practitioners & affiliated clinicians

Practitioners 1

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1851341077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 NE 134TH ST",
            "address_2": "#170",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852799",
            "telephone_number": "360-573-1381",
            "fax_number": "360-573-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 NE 134TH ST",
            "address_2": "#170",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852799",
            "telephone_number": "360-573-1381",
            "fax_number": "360-573-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR FAMILY MEDICINE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "COLVEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "WOODSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-573-1381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00032812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Clinic, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 18, 2008; 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.