| Medprax, Pllc | |
|
14506 110th Ave E South Hill WA 98374-4908 | |
| (253) 393-0336 | |
| (253) 387-1112 |
| Full Name | Medprax, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 14506 110th Ave E, South Hill, Washington |
| Authorized Official Name and Position | Jacqueline Lee (PROVIDER) |
| Authorized Official Contact | 2533930336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medprax, Pllc 14506 110th Ave E South Hill WA 98374-4908 Ph: (253) 393-0336 | Medprax, Pllc 14506 110th Ave E South Hill WA 98374-4908 Ph: (253) 393-0336 |
| NPI Number | 1568396497 |
|---|---|
| Provider Enumeration Date | 06/08/2026 |
| Last Update Date | 06/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568396497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |