Organization · Type 2 NPI

Peacehealth

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Longview, WA

NPI number 1508958331 Active

Practice location

600 Broadway St
Longview, WA 98632-3256

Mailing address

1115 SE 164th Ave, Dept 364
Vancouver, WA 98683-9324

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XH-026 (WA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

22 other providers at this address

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About NPI 1508958331

Peacehealth's National Provider Identifier is 1508958331, issued on Sep 29, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Longview, WA. The record was last updated on Jul 12, 2013.