Peacehealth
Organization Active NPI Hospice and Palliative Medicine (Internal Medicine) Physician · Longview, WA
NPI 1689394306 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1689394306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X
- Legal business name
- PEACEHEALTH
- Practice address
- 821 Washington Way
Longview, WA 98632-4027 - Phone
- (360) 636-8909
- NPI assigned
- Sep 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Seirer
- Title
- Sys VP Fin Integrity/Controller
- Phone
- (360) 729-1132
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Peacehealth
Locations
821 Washington Way
Longview, WA 98632
Phone (360) 696-5103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician |
207RH0002X | Yes |
Addresses
Primary practice location
821 Washington Way
Longview, WA 98632-4027
Mailing address
1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1458
NPI Registry JSON
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661990400000",
"number": "1689394306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838004",
"telephone_number": "360-729-1458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 WASHINGTON WAY",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986324027",
"telephone_number": "360-636-8909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "SEIRER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "SYS VP FIN INTEGRITY/CONTROLLER",
"authorized_official_telephone_number": "360-729-1132"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
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All providers in Longview, WA · Hospice and Palliative Medicine (Internal Medicine) Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.