Kaiser Permanente
NPI #1689776916 in Longview, Washington
Provider Information
- NPI Number
- 1689776916
- Entity Type
- Organization
- Organization Name
- Kaiser Permanente
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Sep 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1230 7TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3166
- Phone
- (360) 636-6235
Authorized Official
- Name
- MS. DONNA RAE YEAGER, M.ED./CDP
- Title
- ADDICTION MEDICINE THERAPIST
- Phone
- (360) 636-6294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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