OrganizationActive
Advanced Gastroenterology
NPI 1962706655 · Ambulatory Surgical Clinic/Center · Vancouver, WA
Provider details
- NPI number
- 1962706655
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Sim, Partner(360) 946-4313
- License
- 50-C0001292 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3250 Se 164th Ave Ste 205
Vancouver, WA 98683-9313
Phone: (360) 946-4313
Fax: (360) 314-2067
Approximate (ZIP-level) locationGet directions
Mailing address
3250 Se 164th Ave Ste 205
Vancouver, WA 98683-9313
Registry dates
- Enumerated
- 2011-01-10
- 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.