NORTHWEST GYNECOLOGY ASSOCIATES PLLC
NPI 1609071570
Specialist in Vancouver, WA

Active since June 19, 2007
406 SE 131ST AVE BLDG C, SUITE 304, VANCOUVER, WA 98683(360) 892-4024(360) 892-4159 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About NORTHWEST GYNECOLOGY ASSOCIATES PLLC

This page provides the complete NPI Profile along with additional information for Northwest Gynecology Associates Pllc, a provider established in Vancouver, Washington operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1609071570 assigned on June 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Women's Center For Optimum Health Pllc. The authorized official of this NPI record is Sally Burdick (Office Manager)

NPI
1609071570 Verify this NPI
Provider Legal Name
NORTHWEST GYNECOLOGY ASSOCIATES PLLC
Other Organization Name
WOMEN'S CENTER FOR OPTIMUM HEALTH PLLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
406 SE 131ST AVE BLDG C SUITE 304 VANCOUVER, WA 98683
Location Phone
(360) 892-4024
Location Fax
(360) 892-4159
Mailing Address
406 SE 131ST AVE BLDG C SUITE 304 VANCOUVER, WA 98683
Mailing Phone
(360) 892-4024
Mailing Fax
(360) 892-4159
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SALLY BURDICK

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(360) 892-4024

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609071570, enumerated as an "organization" on June 19, 2007.

The provider is located at 406 SE 131ST AVE BLDG C SUITE 304 VANCOUVER, WA 98683 and the phone number is (360) 892-4024.

Specialist with taxonomy code 174400000X.