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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
DANIEL LEE HUGHES DPT (CEO)
(360) 423-9535
Entity
Organization
Contact information
Practice address
500 COLUMBIA ST STE C, WOODLAND, WA 98674-8491
(360) 225-5292
(360) 225-6097
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
12/21/2006
Last updated
02/13/2014
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