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

Creekside Medical, Ps

Organization Internal Medicine Physician · NPI 1760529374

Creekside Medical, Ps is an Internal Medicine Physician in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
3

Practice location Address checks out

900 NE 139th St Ste 202
Vancouver, WA 98685-2513
Phone: (360) 566-9355
Fax: (360) 816-1327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (WA)
Pediatrics Physician Taxonomy 208000000X (WA)
Medical Physician Assistant Taxonomy 363AM0700X (WA)

Record details

NPI number1760529374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Vincent — Practice Administrator · (360) 566-9355
NPI enumeratedJanuary 31, 2007
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513

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