Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Gastroenterology, PLLC

Organization Gastroenterology Physician · NPI 1003992090

Advanced Gastroenterology, PLLC is a Gastroenterology Physician in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3250 SE 164th Ave Ste 205
Vancouver, WA 98683-9313
Phone: (360) 946-4313
Fax: (360) 576-1133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD00042129 (WA)

Record details

NPI number1003992090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Sim — Partner · (360) 946-4313
NPI enumeratedOctober 31, 2006
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address3250 Se 164th Ave Ste 205, Vancouver, WA 98683-9313

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