Organization
N W PEDIATRIC CENTER INC P S
Active
Parent organization
N.W.PEDIATRIC CENTER INC PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
N.W.PEDIATRIC CENTER INC PS
Authorized official
LISA GAIL MCKAY (PRACTICE MANAGER)
(360) 736-6777
Entity
Organization
Contact information
Practice address
18313 PAULSON ST SW, ROCHESTER, WA 98579-9262
(360) 736-6778
(360) 736-6552
Mailing address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
D160180464
WA
208000000X
Pediatrics Physician
Primary
MD00027525
WA
208000000X
Pediatrics Physician
MD00028578
WA
208000000X
Pediatrics Physician
MD00029916
WA
208000000X
Pediatrics Physician
MD00032554
WA
208000000X
Pediatrics Physician
MD00038226
WA
208000000X
Pediatrics Physician
MD00043677
WA
208000000X
Pediatrics Physician
MD00048049
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD00039351
WA
363LP0200X
Pediatric Nurse Practitioner
AP30004257
WA
363LP0200X
Pediatric Nurse Practitioner
AP30006273
WA
363LP0200X
Pediatric Nurse Practitioner
AP30007039
WA
363LP0200X
Pediatric Nurse Practitioner
AP60086265
WA
363LP0200X
Pediatric Nurse Practitioner
AP60093357
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058825
—
WI
05
—
1072958
—
WA
05
—
2010815
—
WA
05
—
8141947
—
WA
05
—
8173882
—
WA
05
—
8251324
—
WA
05
—
8349342
—
WI
05
—
8398356
—
WA
05
—
8488298
—
WA
05
—
961422
—
WA
05
—
9636994
—
WA
05
—
9643156
—
WA
05
—
9653551
—
WA
05
—
9661323
—
WA
Enumeration date
03/29/2012
Last updated
10/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us