Peacehealth

NPI #1255977591 in Longview, Washington

Provider Information

NPI Number: 1255977591
Entity Type: Organization
Organization Name: Peacehealth
Subpart: Yes (part of a larger organization)
Parent Organization: PEACEHEALTH
Primary Specialty: Urology
Enumeration Date: Nov 21, 2019
Last Updated: Nov 27, 2019

Practice Location

Address: 625 9TH AVE STE 120
City: Longview
State: Washington
ZIP Code: 98632-2465
Phone: (360) 636-8950

Authorized Official

Name: MICHAEL CHARLES METCALF
Title: CHIEF EXECUTIVE PHMG
Phone: (360) 729-1743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Urology	208800000X	Primary

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Individual Providers

Provider Name	Specialty	City
Patrick C Maginn, MD	Urology	Longview	AI Deep Dive
Patrick M Lassen, M.D.	Urology	Longview	AI Deep Dive
Chad C Chesley, M.D.	Urology	Longview	AI Deep Dive
Kevin Joseph Ward, MD	Urology	Federal Way	AI Deep Dive

Organizations

Provider Name	Specialty	City
Longview Urology Pllc	Urology	Longview	AI Deep Dive

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