Peacehealth

NPI #1871810945 in Longview, Washington

Provider Information

NPI Number
1871810945
Entity Type
Organization
Organization Name
Peacehealth
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 28, 2010
Last Updated
Sep 13, 2013

Practice Location

Address
812 OCEAN BEACH HWY
Address 2
STE. 200
ZIP Code
98632-4082
Phone
(360) 636-6900

Authorized Official

Name
MR. TOM HAYWOOD
Title
NETWORK CFO
Phone
(360) 414-2000

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adult MedicineAdult Medicine
Nurse Practitioner - FamilyFamily
Durable Medical Equipment & Medical Supplies

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