Organization
N W PEDIATRIC CENTER INC P S
Active
Parent organization
N W PEDIATRIC CENTER, INC. P.S.
Other names
Northwest Pediatric Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
N W PEDIATRIC CENTER, INC. P.S.
Authorized official
LISA G MCKAY (PRACTICE MANAGER)
(360) 736-6778
Entity
Organization
Contact information
Practice address
1915 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Mailing address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
208000000X
Pediatrics Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
07/16/2020
Last updated
10/09/2025
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