Organization
PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY
Active
Other names
PeaceHealth Medical Group - Sedro Woolley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIMBERLY A HODGKINSON (EVP CFO)
(360) 729-1145
Entity
Organization
Contact information
Practice address
1990 HOSPITAL DR, SEDRO WOOLLEY, WA 98284
(360) 856-8810
(360) 714-2520
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1411
(360) 501-7535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036892
—
WA
Enumeration date
09/26/2013
Last updated
08/21/2018
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