| Serving Hands Medical Center Npc | |
|
2349 Main St Washougal WA 98671-4115 | |
| (360) 258-1787 | |
| Not Available |
| Full Name | Serving Hands Medical Center Npc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2349 Main St, Washougal, Washington |
| Authorized Official Name and Position | Matthew Brock (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3602581787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serving Hands Medical Center Npc Po Box 751 Washougal WA 98671-0751 Ph: (360) 258-1787 | Serving Hands Medical Center Npc 2349 Main St Washougal WA 98671-4115 Ph: (360) 258-1787 |
| NPI Number | 1871266908 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 07/26/2021 |
| Medicare PECOS PAC ID | 8921404567 |
|---|---|
| Medicare Enrollment ID | O20210908001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871266908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew Brock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508183948 PECOS PAC ID: 4981827789 Enrollment ID: I20201211001963 |
Washougal Family Medicine, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3307 Evergreen Way Ste 603, Washougal, WA 98671 Phone: 360-844-5858 Fax: 360-838-4977 | |
Duley Administrative Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Main St, Washougal, WA 98671 Phone: 360-853-4900 |