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
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 - VAVA

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