Individual
KEITH C PASTERNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 501-3601
Mailing address
PO BOX 5299, TACOMA, WA 98415-0299
(253) 403-2368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00036588
WA
Other
Enumeration date
07/29/2006
Last updated
10/11/2019
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