| Longview - Kelso Medical Office | |
|
1230 7th Ave Longview WA 98632-3166 | |
| (800) 813-2000 | |
| (503) 286-6879 |
| Full Name | Longview - Kelso Medical Office |
|---|---|
| Speciality | General Practice |
| Location | 1230 7th Ave, Longview, Washington |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longview - Kelso Medical Office 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Longview - Kelso Medical Office 1230 7th Ave Longview WA 98632-3166 Ph: (800) 813-2000 |
| NPI Number | 1265984231 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265984231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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