111N00000X
Longview, WA
Specialty
111N00000X
Credential
D.C., ARNP-FNP
NPI
1679667026
1615 Delaware St, Longview, WA 98632
(360) 200-2247Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 111n00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 111N00000X
Peacehealth Gastroenterology Endoscopy Center
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