Unknown Individual – Case Manager/Care Coordinator, NPI 1104963669
Case Manager/Care Coordinator
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4608, Northwest Harney Street, Northwest, Vancouver, Clark County, Washington, 98663, United States
VANCOUVER, WA 986631730
Phone: (360) 256-6757
Type: Mailing
1232, Northwest 23rd Avenue, Nob Hill, Northwest District, Portland, Multnomah County, Oregon, 97210, United States
PORTLAND, OR 972102906
Phone: (503) 227-3450
Fax: (503) 227-3612
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98663)
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