Organization
PACIFIC PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HELEN ANN KEEGAN (OFFICE MANAGER)
(360) 425-3854
Entity
Organization
Contact information
Practice address
1801 1ST AVE, SUITE 3B, LONGVIEW, WA 98632-3270
(360) 425-3854
(360) 423-4107
Mailing address
1801 LST AVE, SUITE 3B, LONGVIEW, WA 98632
(360) 425-3854
(360) 423-4107
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PY00001284
WA
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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