| Pearson Medical Clinic Pllc | |
|
527 2nd Street Woodland WA 98674 | |
| (360) 225-8911 | |
| (360) 225-8527 |
| Full Name | Pearson Medical Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 527 2nd Street, Woodland, Washington |
| Authorized Official Name and Position | Marlene Thoeny (MANAGER) |
| Authorized Official Contact | 3607722006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearson Medical Clinic Pllc Po Box 879 Woodland WA 98674-0900 Ph: (360) 225-8911 | Pearson Medical Clinic Pllc 527 2nd Street Woodland WA 98674 Ph: (360) 225-8911 |
| NPI Number | 1619934007 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619934007 | NPI | - | NPPES |
| 7072580 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Holdahl Chiropractic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1227 N Goerig St, Ste H, Woodland, WA 98674 Phone: 360-225-1200 Fax: 360-225-1266 |