Cedar Crest Wholehealthmedicalcenterpllc

NPI #1225363351 in Winlock, Washington

Provider Information

NPI Number: 1225363351
Entity Type: Organization
Organization Name: Cedar Crest Wholehealthmedicalcenterpllc
Primary Specialty: Family Medicine
Enumeration Date: Oct 7, 2009
Last Updated: Oct 7, 2009

Practice Location

Address: 100 CEDAR CREST DR
City: Winlock
State: Washington
ZIP Code: 98596-9791
Phone: (360) 785-0300

Authorized Official

Name: KIM LEIANN TEITZEL
Title: BILLING REPRESENTATIVE
Phone: (360) 785-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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