Organization
N W PEDIATRIC CENTER INC P S
Active
Parent organization
NORTHWEST PEDIATRIC CENTER, INC. P.S.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST PEDIATRIC CENTER, INC. P.S.
Authorized official
MRS. LISA GAIL MCKAY (PRACTICE MANAGER)
(360) 736-6778
Entity
Organization
Contact information
Practice address
193 S MARKET BLVD, CHEHALIS, WA 98532-3037
(360) 736-6778
(360) 736-6552
Mailing address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00027525
WA
208000000X
Pediatrics Physician
MD00028578
WA
208000000X
Pediatrics Physician
MD00029916
WA
208000000X
Pediatrics Physician
MD00032554
WA
208000000X
Pediatrics Physician
MD00038226
WA
208000000X
Pediatrics Physician
Primary
MD00043677
WA
208000000X
Pediatrics Physician
MD00048049
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD00039351
WA
364SP0200X
Pediatric Clinical Nurse Specialist
AP30006273
WA
364SP0200X
Pediatric Clinical Nurse Specialist
AP30007039
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751514
MEDICAID ENHANCEMENT CHEHALIS
WA
Enumeration date
06/10/2009
Last updated
10/09/2025
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