Active NPI
Vigor Natural Health Clinic, LLC
- Health Service Clinic/Center
- Vancouver, WA
National Provider Identifier
1962895961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- NT60374417
- Legal business name
- VIGOR NATURAL HEALTH CLINIC, LLC
- Practice address
- 3200 SE 164TH Ave
Suite 212
Vancouver, WA 98683-1107 - Phone
- (360) 406-4884
- NPI assigned
- Mar 15, 2015
- 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
- Dr. Ariel Mastrich, ND
- Title
- Owner
- Phone
- (503) 880-2570
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NT60374417 | WA | Primary |
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
3200 SE 164TH Ave
Suite 212
Vancouver, WA 98683-1107
Mailing address
3200 SE 164TH Ave
Suite 212
Vancouver, WA 98683-1107
Phone (360) 406-4884
National Provider Directory
National Provider DirectoryLocations
3200 SE 164th Ave
Ste 212
Vancouver, WA 98683
Phone (360) 253-3488
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Vancouver, WA
- NPI 1326405606
-
- Massage Therapist
- Vancouver, WA
- NPI 1154851780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426377600000",
"number": "1962895961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SE 164TH AVE",
"address_2": "SUITE 212",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831107",
"telephone_number": "360-406-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SE 164TH AVE",
"address_2": "SUITE 212",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831107",
"telephone_number": "360-406-4884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIGOR NATURAL HEALTH CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-15",
"last_updated": "2015-03-15",
"status": "A",
"authorized_official_last_name": "MASTRICH",
"authorized_official_first_name": "ARIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-880-2570",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "WA",
"license": "NT60374417",
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Mar 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.