Provider Demographics
NPI:1205151701
Name:CODAS PLUS
Entity type:Organization
Organization Name:CODAS PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUANNE
Authorized Official - Middle Name:LANI
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-576-7777
Mailing Address - Street 1:800 NE TENNEY RD
Mailing Address - Street 2:SUITE 110 PMB 433
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2831
Mailing Address - Country:US
Mailing Address - Phone:360-576-7777
Mailing Address - Fax:360-258-3140
Practice Address - Street 1:800 NE TENNEY RD
Practice Address - Street 2:SUITE 110 PMB 433
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2831
Practice Address - Country:US
Practice Address - Phone:360-576-7777
Practice Address - Fax:360-258-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602387851171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty