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

Nicolas Vandomelen

Individual provider Physical Therapist · NPI 1790465052

Nicolas Vandomelen is a Physical Therapist in Private Practice in Vancouver, Washington. Qualified in 2023, 3 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023
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Practice location Address checks out

2529 NE 139th St
Vancouver, WA 98686-2719
Phone: (360) 882-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (WA)

Record details

NPI number1790465052
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2023
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address23109 Ne 189th Ct, Battle Ground, WA 98604-4818

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vancouver