Organization
POPE'S KIDS PLACE
Active
Organization
POPE'S KIDS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC POPE MD (MEDICAL DIRECTOR)
(360) 736-9147
Entity
Organization
Contact information
Practice address
230 WASHINGTON WAY, CENTRALIA, WA 98531-9325
(360) 736-9147
Mailing address
230 WASHINGTON WAY, CENTRALIA, WA 98531-9325
(360) 736-9147
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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