Peacehealth
NPI #1184106437 in Longview, Washington
Provider Information
- NPI Number
- 1184106437
- Entity Type
- Organization
- Organization Name
- Peacehealth
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 4, 2018
- Last Updated
- Sep 4, 2018
Practice Location
- Address
- TRIANGLE MALL SUITE 16 1015 OCEAN BEACH HWY
- City
- Longview
- State
- Washington
- ZIP Code
- 98632
- Phone
- (360) 501-3750
Authorized Official
- Name
- MICHAEL CHARLES METCALF
- Title
- CHIEF EXECUTIVE PHMG
- Phone
- (360) 729-1743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Prosthetic/Orthotic Supplier |
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