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PACIFIC GASTROENTEROLOGY PLLC
NPI 1275715526
Specialist in Vancouver, WA

Active since November 28, 2007CLIA 50D2103529 · Waiver
814 NE 87TH AVE, VANCOUVER, WA 98664(360) 823-0880 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Gastroenterology Pllc NPPES

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

PACIFIC GASTROENTEROLOGY PLLC (NPI 1275715526) is a healthcare organization registered as a specialist in Vancouver, Washington and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Mehdi S Ferdows, Owner, as its authorized official.

NPPES Registry Identity

NPI1275715526
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePACIFIC GASTROENTEROLOGY PLLC
Location Address814 NE 87TH AVEVancouver, WA 98664-1915
Mailing AddressPo Box 5894Vancouver, WA 98668-5894 · (360) 823-0880
Phone(360) 823-0880
Organization SubpartNo
Authorized OfficialMehdi S FerdowsOwner · (360) 823-0880
Enumeration DateNovember 28, 2007
Last NPPES UpdateJanuary 2, 2008
✔ NPI 1275715526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD000411
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
814 NE 87TH AVE, Vancouver, WA 98664
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Other Identifiers 2

Medicare PING8808785WA
Medicaid7134794WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 Waiver 50D2103529

Pacific Gastroenterology · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2103529
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMehdi S. Ferdows
Laboratory Phone(360) 823-0880
Laboratory LocationPacific Gastroenterology8506 E Mill Plain Blvd Ste B, Vancouver, WA 98664
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

NW FAMILY PSYCHOLOGY, LLC
Psychologist (Group Psychotherapy)
814 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 910-1522
DR. JESSICA ANN MCBRIDE PHD
Psychologist (Clinical)
814 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 910-1522
MEHDI S FERDOWS MD, PHD
Specialist
814 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 823-0880
DR. LANDON EUGENE POPPLETON PHD, JD
Psychologist (Clinical)
814 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 910-1522
MRS. JAVEEN LYNETTE SKOUBO PSYD.
Psychologist
814 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 910-1522

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 Pacific Gastroenterology PLLC's NPI number?

The NPI number for Pacific Gastroenterology PLLC is 1275715526. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Pacific Gastroenterology PLLC located?

Pacific Gastroenterology PLLC is located at 814 NE 87th Ave, Vancouver, WA 98664. The listed phone number is (360) 823-0880.

What is Pacific Gastroenterology PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Pacific Gastroenterology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2103529) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pacific Gastroenterology PLLC was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.