Organization
CONVENIENT PHYSICIANS SERVICES PS
Active
Other names
Convenient HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERT MICHAEL HALE MD (PRESIDENT)
(360) 425-5845
Entity
Organization
Contact information
Practice address
1052 DOUGLAS ST, LONGVIEW, WA 98632-2102
(360) 425-5845
(360) 577-9066
Mailing address
1052 DOUGLAS ST, LONGVIEW, WA 98632-2102
(360) 425-5845
(360) 577-9066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00016670
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060706
REGENCE BLUE CROSS -WA
WA
01
—
40060
LABOR AND INDUSTRY
WA
05
—
7048580
—
WA
Enumeration date
04/10/2007
Last updated
10/09/2007
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