# GRAYS HARBOR PEDIATRICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104971845
- **Authorized official:** EDGARDO C MAGSALAY M.D. (MEMBER)
- **Authorized official phone:** (360) 533-7677

## Contact information

- **Practice address:** 611 N F ST, SUITE 201, ABERDEEN, WA 98520-2667
- **Practice address phone:** (360) 533-7677
- **Practice address fax:** (360) 533-0470
- **Mailing address:** 611 N F ST, SUITE 201, ABERDEEN, WA 98520-2667
- **Mailing address phone:** (360) 533-7677
- **Mailing address fax:** (360) 533-0470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 07/19/2011