MARYS CORNER MEDICAL CLINIC INC PS
Family Medicine
Active
Organization
NPI: 1194973628
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | OP00000823 (WA) |
| Clinic/Center - Rural Health | 261QR1300X | No | PA0004588 (WA) |
| Physician Assistant - Medical | 363AM0700X | No | PA10004588 (WA) |
| Nurse Practitioner - Family | 363LF0000X | No | AP30005675 (WA) |
Frequently Asked Questions
NPI 1194973628 is the National Provider Identifier for MARYS CORNER MEDICAL CLINIC INC PS, a Family Medicine provider located in Chehalis, WA. This NPI was enumerated on September 9, 2008.
Quick Facts
- NPI
- 1194973628
- Type
- Organization
- Enumerated
- Sep 9, 2008
- Last Updated
- Apr 30, 2012
Nearby Providers
-
ATE'HA TRIANCE, RN
Registered Nurse - Addiction (Substance Use Disorder)
-
STEPHEN HENNESSEY, MD
General Practice
-
DR. DAVID WOOTEN JR., D.O.
Family Medicine
-
MRS. KAY BROOKS, PA C
Physician Assistant - Medical
-
MRS. SHELLY NORMAN, ARNP
Nurse Practitioner - Family