Victoria Paulus, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

AP30004268 Issued in WA

Legal business name

VICTORIA PAULUS, LLC

Practice address

7600 NE 41St St Ste 310
Vancouver, WA 98662-6791

Phone

(360) 571-2050

Fax

(360) 253-3196

NPI assigned

Apr 12, 2013

Organization subpart

No

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

Authorized official

Name

Victoria Dawn Paulus, ARNP

Title

Owner

Phone

(360) 571-2050

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1972946598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 NE 41ST ST STE 310",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626791",
            "telephone_number": "360-571-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 NE 41ST ST STE 310",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626791",
            "telephone_number": "360-571-2050",
            "fax_number": "360-253-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA PAULUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-571-2050",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "AP30004268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE #",
            "identifier": "AP30004268",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vibrant U Med Spa LLC
• David Vicars
• Amanda Michelle Vickers, LMHC
• Ken Vickery, LCSW
• Kate Zebatto Victor, PA-C, MMS
• Clarence Gail Victoria, SLP
• Victory Athletic Exchange
• Victory Spine and Sport PLLC
• Jimena Vicuna
• Nancy Jo Vieira

• Mental Health Clinic/Center (Including Community Mental Health Center) in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.