Organization · Type 2 NPI
Marys Corner Medical Clinic Inc. PS
Rural Health Clinic/Center · Chehalis, WA
NPI number
1104016138
Active
Practice location
4254 Jackson Highway
Chehalis, WA 98532
Fax (360) 262-3967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00039760 (WA) |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Medical Physician Assistant | 363AM0700X | PA10004588 (WA) |
Rural Health Clinic/Center: Definition to come...
Other rural health clinic/center providers in Chehalis
About NPI 1104016138
Marys Corner Medical Clinic Inc. PS's National Provider Identifier is 1104016138, issued on Jul 26, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Chehalis, WA. The record was last updated on Apr 26, 2012.