Organization
CHEHALIS CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD R LEPROWSE MD (MEDICAL DIRECTOR)
(360) 748-6693
Entity
Organization
Contact information
Practice address
370 S MARKET STREET, CHEHALIS, WA 98532
(360) 748-6693
(360) 748-3619
Mailing address
370 S MARKET STREET, CHEHALIS, WA 98532
(360) 748-6693
(360) 748-3619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/17/2006
Last updated
10/09/2023
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