Longview Va Clinic
NPI #1851348999 in Longview, Washington
Provider Information
- NPI Number
- 1851348999
- Entity Type
- Organization
- Organization Name
- Longview Va Clinic
- Primary Specialty
- Clinic/Center - VA
- Enumeration Date
- May 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1801 1ST AVE
- Address 2
- SUITE 4C
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3270
- Phone
- (360) 636-7822
Authorized Official
- Name
- BARBARA MAYERICK
- Title
- DIRECTOR, BUSINESS DEVELOPMENT
- Phone
- (202) 254-0339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - VA — VA |
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