AETHENA GYNECOLOGY ASSOCIATES, P.S. – NPI #1710190103
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

AETHENA GYNECOLOGY ASSOCIATES, P.S. is a provider located in VANCOUVER, WA. NPPES has assigned the NPI number 1710190103 to AETHENA GYNECOLOGY ASSOCIATES, P.S. on May 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 15 years ago on Sep 29, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AETHENA GYNECOLOGY ASSOCIATES, P.S. below.

NPI Profile for
AETHENA GYNECOLOGY ASSOCIATES, P.S.

NPI Number
1710190103
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AETHENA GYNECOLOGY ASSOCIATES, P.S.
Primary location
1498 SE TECH CENTER PLACE
SUITE 100
VANCOUVER, WA 98683
Phone: (360) 693-7878 Fax: (360) 892-5724
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LESLIE STRUXNESS
PHYSICIAN/OWNER
Phone: (360) 693-7878
Updated
Identifiers

Identifiers for AETHENA GYNECOLOGY ASSOCIATES, P.S.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA7124332
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
363LW0102X
- Nurse Practitioner / Women's Health		 WA AP30003214

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.