Organization
MOUNTAIN VIEW MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE WISTI (OFFICE MANAGER)
(360) 666-8418
Entity
Organization
Contact information
Practice address
101 NW 12TH AVE, STE 107, BATTLE GROUND, WA 98604-4319
(360) 666-8418
(360) 666-8599
Mailing address
101 NW 12TH AVE, STE 107, BATTLE GROUND, WA 98604-4319
(360) 666-8418
(360) 666-8599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
602378281
WA
Other
Enumeration date
09/20/2006
Last updated
08/13/2008
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