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Organization

KIRKPATRICK FAMILY CARE, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN TROTTER (ADMINISTRATOR)
(360) 430-2911
Entity
Organization

Contact information

Practice address
1706 WASHINGTON WAY, LONGVIEW, WA 98632-2952
(360) 423-0390
(360) 577-3865
Mailing address
PO BOX 1338, LONGVIEW, WA 98632-7785
(360) 423-0390
(360) 577-3865

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
6004675663
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7097447
WA
Enumeration date
06/23/2006
Last updated
10/15/2009
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