# KIRKPATRICK FAMILY CARE, PS

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

## Provider details

- **NPI number:** 1447286646
- **Authorized official:** MR. STEVEN TROTTER (ADMINISTRATOR)
- **Authorized official phone:** (360) 430-2911

## Contact information

- **Practice address:** 1706 WASHINGTON WAY, LONGVIEW, WA 98632-2952
- **Practice address phone:** (360) 423-0390
- **Practice address fax:** (360) 577-3865
- **Mailing address:** PO BOX 1338, LONGVIEW, WA 98632-7785
- **Mailing address phone:** (360) 423-0390
- **Mailing address fax:** (360) 577-3865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 6004675663 | WA | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 10/15/2009