Individual provider · Type 1 NPI
Mason Minton, LMP
Specialist · Longview, WA
NPI number
1134490667
Active
Practice location
1151 Commerce Ave
Longview, WA 98632-3024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA60219037 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1134490667
Mason Minton, LMP's National Provider Identifier is 1134490667, issued on Jan 13, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Longview, WA. The record was last updated on Jan 13, 2012.