Organization
LEWIS COUNTY PEDIATRICS AND FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANEL MARIE TANGEN PATANA PNP (OWNER)
(360) 880-4955
Entity
Organization
Contact information
Practice address
375 A LINHART AVE NE, NAPAVINE, WA 98565-9856
(360) 880-4955
Mailing address
PO BOX 708, NAPAVINE, WA 98565-0708
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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