Organization · Type 2 NPI
Castle Rock Pediatrics and Family Wellness Center
Multi-Specialty Clinic/Center · Castle Rock, WA
NPI number
1770767477
Active
Practice location
139 First Avenue SW
Castle Rock, WA 98611-0160
Fax (360) 274-2354
Mailing address
PO Box 160
Castle Rock, WA 98611-0160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 601 929 001 11 (WA) |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1770767477
Castle Rock Pediatrics and Family Wellness Center's National Provider Identifier is 1770767477, issued on Dec 18, 2007. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Castle Rock, WA. The record was last updated on Nov 25, 2008.