Organization
COASTAL INTERNAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PELT (CLINIC ADMINISTRATOR)
(360) 538-0135
Entity
Organization
Contact information
Practice address
1921 SUMNER AVE, ABERDEEN, WA 98520-3606
(360) 538-0135
(360) 533-3475
Mailing address
PO BOX 87, ABERDEEN, WA 98520-0022
(360) 538-0135
(360) 533-3475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60328816
WA
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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