Provider Demographics
NPI:1164963898
Name:PINNACLE WOMEN'S THERAPEUTICS
Entity Type:Organization
Organization Name:PINNACLE WOMEN'S THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BUFFY
Authorized Official - Middle Name:J
Authorized Official - Last Name:STINCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:360-901-9753
Mailing Address - Street 1:1610 C ST STE 102
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3400
Mailing Address - Country:US
Mailing Address - Phone:360-901-9753
Mailing Address - Fax:360-841-7075
Practice Address - Street 1:1610 C ST STE 102
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3400
Practice Address - Country:US
Practice Address - Phone:360-901-9753
Practice Address - Fax:360-841-7075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251X0800X, 261QR0400X
WAPT10435261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation