Organization Active NPI

The Womens Clinic of Vancouver PS

  • Obstetrics & Gynecology Physician
  • Vancouver, WA
National Provider Identifier
1962563718
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
THE WOMENS CLINIC OF VANCOUVER PS
Practice address
2101 NE 139TH St
Suite 350
Vancouver, WA 98686-2309
Phone
(360) 256-4060
Fax
(360) 256-0103
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Authorized official

Name
Kathy C Virtue
Title
Manager
Phone
(360) 256-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2101 NE 139TH St
Suite 350
Vancouver, WA 98686-2309

Mailing address

2101 NE 139TH St
Suite 350
Vancouver, WA 98686-2309
Phone (360) 256-4060

Other identifiers 3

IdentifierTypeStateIssuer
50D1050187OtherWACUA ID
7827702MedicaidWA
CP7561OtherWAMEDICARE RR

National Provider Directory

National Provider Directory

Locations

505 NE 87th Ave
Ste 260
Vancouver, WA 98664
Phone (360) 514-6450

2101 NE 139th St
Ste 350
Vancouver, WA 98686
Phone (360) 256-4060

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1962563718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NE 139TH ST",
            "address_2": "SUITE 350",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862309",
            "telephone_number": "360-256-4060",
            "fax_number": "360-256-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NE 139TH ST",
            "address_2": "SUITE 350",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862309",
            "telephone_number": "360-256-4060",
            "fax_number": "360-256-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOMENS CLINIC OF VANCOUVER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "VIRTUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-256-4060"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUA ID",
            "identifier": "50D1050187",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7827702",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CP7561",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 2, 2018; 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.