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Pediatric Clinic, Inc., P.s.
Clinic/Center in Longview, Washington
NPI 1639287188

Pediatric Clinic, Inc., P.s. is a Clinic/Center based in Longview, WA. Pediatric Clinic, Inc., P.s. practices in Longview, WA. The NPI Number for Pediatric Clinic, Inc., P.s. is 1639287188 and holds a License No. 600024847 (Washington).

The current practice location address for Pediatric Clinic, Inc., P.s. is 784 14Th Ave, Longview, WA and can be reached out via phone at 360-425-6117 and via fax at 360-636-1297.

Location: 784 14Th Ave, Longview, WA, 98632-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639287188
Provider Name
Pediatric Clinic, Inc., P.s.
Credential
Provider Entity Type
Organization
Address
784 14Th Ave, Longview, WA, 98632-2315
Phone Number
360-425-6117
Fax Number
360-636-1297
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7851702 05 WA
institution
Provider Business Practice Location Address Details
Address
784 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-425-6117
Fax Number
360-636-1297
person
Provider Business Mailing Address Details
Address
784 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-425-6117
Fax Number
360-636-1297
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
600024847 (Washington)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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