Body Balance Health and Aesthetics Medicine

Organization Active NPI Women's Health Nurse Practitioner · Camas, WA

NPI 1861200792 · NPPES record last updated Dec 23, 2024

Key facts

NPI
1861200792
Entity type
Organization (NPI type 2)
Primary specialty
Women's Health Nurse Practitioner 363LW0102X
Legal business name
BODY BALANCE HEALTH AND AESTHETICS MEDICINE
Practice address
1905 SE 192ND Ave Ste 201
Camas, WA 98607-7415
Phone
(360) 747-2000
NPI assigned
Dec 23, 2024
Organization subpart
No

Authorized official

Name
Azamat Berdiyev
Title
Operations Manager
Phone
(360) 747-2000

Practitioners 1

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

National Provider Directory

Locations

1905 SE 192nd Ave
Ste 201
Camas, WA 98607
Phone (360) 747-2000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LW0102X Yes

Addresses

Primary practice location

1905 SE 192ND Ave Ste 201
Camas, WA 98607-7415

Mailing address

1905 SE 192ND Ave Ste 201
Camas, WA 98607-7415
Phone (360) 747-2000

Other providers in Camas, WA

All providers in Camas, WA · Women's Health Nurse Practitioner in Washington

Sources for this page

Verify at the official NPI Registry.