Active NPI
The Womens Clinic of Vancouver PS
- Obstetrics & Gynecology Physician
- Vancouver, WA
National Provider Identifier
1962563718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50D1050187 | Other | WA | CUA ID |
| 7827702 | Medicaid | WA | |
| CP7561 | Other | WA | MEDICARE RR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- Vancouver, WA
- NPI 1366422651
-
- Obstetrics & Gynecology Physician
- Front Royal, VA
- NPI 1801998604
-
- Family Nurse Practitioner
- Tigard, OR
- NPI 1619957990
-
- Obstetrics & Gynecology Physician
- Portland, OR
- NPI 1841386703
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.