OrganizationActive
Advanced Gastroenterology, PC
NPI 1629204979 · Specialist · Vancouver, WA
Advanced Gastroenterology, PC is a Specialist organization in Vancouver, WA (NPI 1629204979).
Provider details
- NPI number
- 1629204979
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Son DO, Owner(360) 576-5060
- License
- 602508382 (WA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2101 Ne 139th St Ste 265
Vancouver, WA 98686-2311
Phone: (360) 576-5060
Fax: (360) 576-1133
Street-level locationGet directions
Mailing address
2101 Ne 139th St Ste 265
Vancouver, WA 98686-2311
Registry dates
- Enumerated
- 2009-06-01
- Last updated
- 2009-06-01
Frequently asked questions
- What is Advanced Gastroenterology, PC's NPI number?
- Advanced Gastroenterology, PC's National Provider Identifier (NPI) is 1629204979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Gastroenterology, PC?
- Advanced Gastroenterology, PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Advanced Gastroenterology, PC located?
- Advanced Gastroenterology, PC's practice location on file with NPPES is 2101 Ne 139th St Ste 265, Vancouver, WA 98686-2311.
- What is Advanced Gastroenterology, PC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Gastroenterology, PC is (360) 576-5060.
- Who is the authorized official for Advanced Gastroenterology, PC?
- The authorized official listed on Advanced Gastroenterology, PC's NPPES record is Son DO, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Gastroenterology, PC's NPI active?
- Yes — Advanced Gastroenterology, PC's NPI (1629204979) is active in the NPPES registry as of the last update on 2009-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.