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FREE CLINIC OF SOUTHWEST WASHINGTON
NPI 1851147862
Clinic/Center in Vancouver, WA

Active since April 29, 2024CLIA 50D0961870 · Microscopy
4100 PLOMONDON ST, VANCOUVER, WA 98661(360) 450-3054 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Free Clinic Of Southwest Washington NPPES

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

FREE CLINIC OF SOUTHWEST WASHINGTON (NPI 1851147862) is a healthcare organization registered as a clinic/center in Vancouver, Washington and active in the NPI registry since April 2024. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Rebecca O'brien, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1851147862
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFREE CLINIC OF SOUTHWEST WASHINGTON
Location Address4100 PLOMONDON STVancouver, WA 98661-5645
Mailing Address4100 Plomondon StVancouver, WA 98661-5645 · (360) 450-3054
Phone(360) 450-3054
Organization SubpartNo
Authorized OfficialRebecca O'brienExecutive Director · (360) 450-3054
Enumeration DateApril 29, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1851147862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4100 PLOMONDON ST, Vancouver, WA 98661
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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 for Provider-Performed Microscopy Procedures (PPMP) 50D0961870

Free Clinic Of Southwest Washington · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D0961870
Laboratory TypeOther
Certificate Effective DateOctober 6, 2003
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPatricia A. Moran
Laboratory Phone(360) 313-1390
Laboratory LocationFree Clinic Of Southwest Washington4100 Plomondon Street, Vancouver, WA 98661
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

MRS. JULIE K ATCHLEY PA-C
Physician Assistant
4100 PLOMONDON ST
VANCOUVER, WA 98661
Clark County (360) 313-1390

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 Free Clinic Of Southwest Washington's NPI number?

The NPI number for Free Clinic Of Southwest Washington is 1851147862. It was assigned to this organization in the NPPES registry on April 29, 2024.

Where is Free Clinic Of Southwest Washington located?

Free Clinic Of Southwest Washington is located at 4100 Plomondon St, Vancouver, WA 98661. The listed phone number is (360) 450-3054.

What is Free Clinic Of Southwest Washington's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Free Clinic Of Southwest Washington hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0961870) 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 Free Clinic Of Southwest Washington was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.