Organization
PROGRESS CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L FORBES (EXECUTIVE DIRECTOR)
(360) 425-9810
Entity
Organization
Contact information
Practice address
1600 3RD AVE, LONGVIEW, WA 98632-3231
(360) 425-9810
(360) 425-1053
Mailing address
1600 3RD AVE, LONGVIEW, WA 98632-3231
(360) 425-9810
(360) 425-1053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT00001294
WA
174400000X
Specialist
PT00002843
WA
174400000X
Specialist
PT00003193
WA
174400000X
Specialist
—
WA
235Z00000X
Speech-Language Pathologist
LL00001976
WA
235Z00000X
Speech-Language Pathologist
Primary
LL00003656
WA
235Z00000X
Speech-Language Pathologist
LL00004192
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7018088
—
WA
Enumeration date
01/23/2007
Last updated
03/18/2008
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