Impact Physician Group, Washington LLC
Impact Physician Group, Washington LLC is a Family Medicine Physician in Vancouver, Washington. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2805 NE 129th StVancouver, WA 98686-3324
Phone: (360) 356-1890
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
Record details
| NPI number | 1457008971 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Miller — Ceo · (678) 967-5599 |
| NPI enumerated | March 4, 2022 |
| Last updated in NPPES | March 4, 2022 |
| Certification date | March 4, 2022 |
| Mailing address | 21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546 |
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Dr. Mark Joseph Hubbard, MD
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Mrs. Susan Z Hughes, MD
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Natasha Renee Ingvoldstad-O'Neal, MD
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Morgan Jackson, MD
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Rick Lee Jackson, MD
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Jason Paul Jarria, MD, PLLC
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