Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA RAE YEAGER M.ED./CDP (ADDICTION MEDICINE THERAPIST)
(360) 636-6294
Entity
Organization
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-6235
(360) 575-4805
Mailing address
125 NECTARINE DRIVE, KALAMA, WA 98625
(360) 673-3434
(360) 575-4805
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
CP00002701
WA
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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