IMPACT PHYSICIAN GROUP, WASHINGTON LLC
NPI 1457008971
Internal Medicine in Vancouver, WA

Q: What is Impact Physician Group, Washington LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 04, 2022

2805 NE 129TH ST, VANCOUVER, WA 98686(360) 356-1890 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Impact Physician Group, Washington Llc NPPES

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

IMPACT PHYSICIAN GROUP, WASHINGTON LLC (NPI 1457008971) is a healthcare organization registered as an internal medicine in Vancouver, Washington and active in the NPI registry since March 2022. The organization lists Paul Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457008971

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameIMPACT PHYSICIAN GROUP, WASHINGTON LLC

Location Address2805 NE 129TH STVancouver, WA 98686-3324

Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (678) 967-5599

Phone(360) 356-1890

Organization SubpartNo

Authorized OfficialPaul MillerCeo · (678) 967-5599

Enumeration DateMarch 4, 2022

NPPES CertifiedMarch 4, 2022

✔ NPI 1457008971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

2805 NE 129TH ST, Vancouver, WA 98686

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 7

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

SARAH HARPER SUDPT

Counselor (Addiction (Substance Use Disorder))