OrganizationActive
Advanced Gastroenterology, PLLC
NPI 1003992090 · Gastroenterology Physician · Vancouver, WA
Provider details
- NPI number
- 1003992090
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Sim, Partner(360) 946-4313
- License
- MD00042129 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3250 Se 164th Ave Ste 205
Vancouver, WA 98683-9313
Phone: (360) 946-4313
Fax: (360) 576-1133
Approximate (ZIP-level) locationGet directions
Mailing address
3250 Se 164th Ave Ste 205
Vancouver, WA 98683-9313
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.