Organization Active NPI

Vigor Natural Health Clinic, LLC

  • Health Service Clinic/Center
  • Vancouver, WA
National Provider Identifier
1962895961
Registry record updated Mar 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
NT60374417 Issued in WA
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

Updated by the provider on Mar 15, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.