Organization
L G STECK MEMORIAL CLINIC P S
Active
Other names
NAPAVINE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L BREDESON (CEO)
(360) 740-4001
Entity
Organization
Contact information
Practice address
305 LINHART AVE NE, NAPAVINE, WA 98565
(360) 262-3990
(360) 262-0873
Mailing address
PO BOX 147, NAPAVINE, WA 98565-0147
(360) 262-3990
(360) 262-0873
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7074131
—
WA
Enumeration date
06/30/2008
Last updated
05/19/2011
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