Individual
MR. GEORGE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
625 9TH AVENUE, SUITE 220, LONGVIEW, WA 98632-2544
(360) 578-1188
(360) 578-6251
Mailing address
625 9TH AVENUE, SUITE 220, LONGVIEW, WA 98632
(360) 578-1188
(360) 578-6251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002329
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130909
KAISER PERMANENTE
WA
01
—
205245
DEPARTMENT OF LABOR AND I
WA
05
—
205245
—
WA
01
—
8940636
CRIME VICTIMS
WA
Enumeration date
05/15/2006
Last updated
07/12/2007
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