VANCOUVER CLINIC PHARMACY SALMON CREEK
NPI 1124063367
Pharmacy - Community/Retail Pharmacy in Vancouver, WA

Active since June 20, 2006CLIA Certified · 5 labs
2525 NE 139TH ST, SUITE 160, VANCOUVER, WA 98686(360) 397-2880(360) 604-1794 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2016, Oct 17, 2016 (2 updates tracked since 2016).

About Vancouver Clinic Pharmacy Salmon Creek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANCOUVER CLINIC PHARMACY SALMON CREEK (NPI 1124063367) is a healthcare organization registered as a community/retail pharmacy in Vancouver, Washington and active in the NPI registry since June 2006. The organization holds 5 active CLIA laboratory certificates and lists Larissa Morrow, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1124063367
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVANCOUVER CLINIC INC
Location Address2525 NE 139TH ST, SUITE 160Vancouver, WA 98686-2719
Mailing Address2525 Ne 139th St, Pharmacy Suite 160Vancouver, WA 98686-2719 · (360) 397-2880 · Fax (360) 604-1794
Fax(360) 604-1794
Organization SubpartNo
Authorized OfficialLarissa MorrowPharmacy Manager · (360) 397-3880
Enumeration DateJune 20, 2006
Last NPPES UpdateDecember 16, 20162 updates tracked since enumeration
NPI 1124063367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in WA · PHARCF00058559
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
2525 NE 139TH ST, Vancouver, WA 98686

Other Names 1

Doing Business AsVancouver Clinic Pharmacy Salmon Creek

Other Identifiers 2

Medicaid6029078WA
Other2108657Pk

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0637800

Vancouver Clinic - Salmon Creek · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D0637800
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKim Jewell
Laboratory Phone(360) 397-4480
Laboratory LocationVancouver Clinic - Salmon Creek2525 NE 139th St, Vancouver, WA 98686
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 50D0902995

Vancouver Clinic -Gateway Salmon Creek- Mohs, The · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D0902995
Laboratory TypeClinic
Certificate Effective DateJuly 8, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorZheng Qian
Laboratory Phone(360) 882-2778
Laboratory LocationVancouver Clinic -Gateway Salmon Creek- Mohs, The2621 NE 134th St Ste 300, Vancouver, WA 98686
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 50D2246076

Vancouver Clinic - Padden Laboratory · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2246076
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 20, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKim Jewell
Laboratory Phone(360) 882-2778
Laboratory LocationVancouver Clinic - Padden Laboratory12019 NE 99th St Ste 1731, Vancouver, WA 98682
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 50D2269829

Vancouver Clinic -Salmon Creek II · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2269829
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 4, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKim Jewell
Laboratory Phone(360) 397-3980
Laboratory LocationVancouver Clinic -Salmon Creek II2529 NE 139th St, Vancouver, WA 98686
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 50D2336491

Vancouver Clinic - Northern Star · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2336491
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMatthew Evans
Laboratory Phone(360) 397-3980
Laboratory LocationVancouver Clinic - Northern Star14201 NE 20th Ave, Vancouver, WA 98686
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
2525 NE 139TH ST
VANCOUVER, WA 98686
Nurse Practitioner (Women's Health)
2525 NE 139TH ST
VANCOUVER, WA 98686
Physician Assistant
2525 NE 139TH ST
VANCOUVER, WA 98686
Internal Medicine
2525 NE 139TH ST, THE VANCOUVER CLINIC
VANCOUVER, WA 98686
Urology
2525 NE 139TH ST, SUITE 220
VANCOUVER, WA 98686
Family Medicine (Sports Medicine)
2525 NE 139TH ST
VANCOUVER, WA 98686
Allergy & Immunology
2525 NE 139TH ST, SUITE 210
VANCOUVER, WA 98686
Physician Assistant (Medical)
2525 NE 139TH ST
VANCOUVER, WA 98686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vancouver Clinic Inc's NPI number?

The NPI number for Vancouver Clinic Inc is 1124063367. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Vancouver Clinic Pharmacy Salmon Creek.

Where is Vancouver Clinic Inc located?

Vancouver Clinic Inc is located at 2525 NE 139th St Suite 160, Vancouver, WA 98686. The listed phone number is (360) 397-2880.

What is Vancouver Clinic Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Vancouver Clinic Inc hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vancouver Clinic Inc was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.