Organization
PEACEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SEIRER (SYS VP FIN INTEGRITY/CONTROLLER)
(360) 729-1132
Entity
Organization
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 636-8909
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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