Organization
LEWIS COUNTY HOSPITAL DISTRICT NO 1
Active
Other names
Arbor Health Mossyrock Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BOGGESS (ADMINISTRATOR)
(360) 496-3525
Entity
Organization
Contact information
Practice address
745 WILLIAMS STREET, MOSSYROCK, WA 98564
(360) 983-8990
(360) 983-8995
Mailing address
PO BOX 1138, MORTON, WA 98356-0019
(360) 496-3702
(360) 983-3098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
02/11/2019
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