Organization
LEWIS COUNTY HOSPITAL DISTRICT NO. 1
Active
Other names
Arbor Health Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BOGGESS (CEO)
(360) 496-3647
Entity
Organization
Contact information
Practice address
521 ADAMS AVENUE, MORTON, WA 98365
(360) 496-3517
(360) 496-3664
Mailing address
PO BOX 1138, MORTON, WA 98356-0019
(360) 496-3504
(360) 496-3508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H173
WA
207V00000X
Obstetrics & Gynecology Physician
H-173
WA
207Y00000X
Otolaryngology Physician
H173
WA
208600000X
Surgery Physician
Primary
H173
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154384
LABOR & INDUSTRIES
WA
05
—
7121064
—
WA
Enumeration date
07/12/2006
Last updated
08/20/2019
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