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Organization
PT NORTHWEST OF LONGVIEW INC
Active
Organization
PT NORTHWEST OF LONGVIEW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LEE HUGHES DPT (CEO)
(360) 423-9535
Entity
Organization
Contact information
Practice address
20 COWLITZ, CASTLE ROCK, WA 98611
(360) 274-4550
(360) 274-4548
Mailing address
1560 3RD AVE, LONGVIEW, WA 98632-3229
(360) 423-9535
(360) 414-9284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7072184
—
WA
01
—
DC3748
MEDICARE RAILROAD
WA
Enumeration date
12/22/2006
Last updated
12/26/2007
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