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Marys Corner Medical Clinic Inc. Ps
Medical Physician Assistant in Chehalis, Washington
NPI 1104016138

Marys Corner Medical Clinic Inc. Ps is a Medical Physician Assistant based in Chehalis, WA and is specialized in Medical. Marys Corner Medical Clinic Inc. Ps practices in Chehalis, WA. The NPI Number for Marys Corner Medical Clinic Inc. Ps is 1104016138 and holds a License No. MD00039760 (Washington).

The current practice location address for Marys Corner Medical Clinic Inc. Ps is 4254 Jackson Highway, Chehalis, WA and can be reached out via phone at 360-262-3966 and via fax at 360-262-3967.

Location: 4254 Jackson Highway, Chehalis, WA, 98532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104016138
Provider Name
Marys Corner Medical Clinic Inc. Ps
Credential
Provider Entity Type
Organization
Address
4254 Jackson Highway, Chehalis, WA, 98532
Phone Number
360-262-3966
Fax Number
360-262-3967
Provider Enumeration Date
07/26/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7132764 05 WA
1117829 05 WA
7132244 05 WA
institution
Provider Business Practice Location Address Details
Address
4254 Jackson Highway
City
Chehalis
State
Washington
Zip
98532
Phone Number
360-262-3966
Fax Number
360-262-3967
person
Provider Business Mailing Address Details
Address
4254 Jackson Highway
City
Chehalis
State
Washington
Zip
98532
Phone Number
360-262-3966
Fax Number
360-262-3967
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
PA10004588 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
(Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MD00039760 (Washington)
Definition
Definition to come...
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