Organization
PEARSON MEDICAL CLINIC PLLC
Active
Organization
PEARSON MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE THOENY (MANAGER)
(360) 772-2006
Entity
Organization
Contact information
Practice address
527 2ND STREET, WOODLAND, WA 98674
(360) 225-8911
(360) 225-8527
Mailing address
PO BOX 879, WOODLAND, WA 98674-0900
(360) 225-8911
(360) 225-8527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7072580
—
WA
Enumeration date
04/28/2006
Last updated
08/05/2014
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