PNW ENT

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD00034870 Issued in WA

Legal business name

PNW ENT

Doing business as

Anderson ENT

Practice address

718 NE 87TH Ave
Vancouver, WA 98664-1970

Phone

(360) 828-1346

Fax

(360) 828-7627

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Adrienne B Copple

Title

Clinic Administrator

Phone

(360) 828-1346

Specialties & licenses 1

Addresses

Other names 1

• Anderson ENT Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Philemon Lynn Anderson, M.D.

  • Otolaryngology Physician
  • Vancouver, WA
  • NPI 1609836840
  Medicare reassignment

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1942641584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 NE 87TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641970",
            "telephone_number": "360-828-1346",
            "fax_number": "360-828-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 NE 87TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641970",
            "telephone_number": "360-828-1346",
            "fax_number": "360-828-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "COPPLE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "360-828-1346"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD00034870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi K Plumhoff, C.R.M, B.S.W
• Mitchell Tyree Plummer II, LMT
• Evangeline Royon Plunkett
• Laura Plymale
• PNW Aging Specialty Services, LLC
• PNW Medical Massage LLC
• Poa Pharma North America LLC
• Christie Joyce Podhora, ARNP
• Allonah Rose Podvin, RN
• Points of Origin, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.