Active NPI
Peacehealth
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Longview, WA
National Provider Identifier
1689394306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- PEACEHEALTH
- Practice address
- 821 Washington Way
Longview, WA 98632-4027 - Phone
- (360) 636-8909
- NPI assigned
- Sep 1, 2022
- Last updated
- Sep 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Seirer
- Title
- Sys VP Fin Integrity/Controller
- Phone
- (360) 729-1132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
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
National Provider Directory
National Provider Directory- Tax ID family
- Peacehealth
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Longview, WA
- NPI 1295456143
-
dba PeaceHealth St John Medical Center Retail Pharmacy
- Community/Retail Pharmacy
- Longview, WA
- NPI 1477209864
-
dba PeaceHealth Southwest Pharmacy at Medical Center
- Community/Retail Pharmacy
- Vancouver, WA
- NPI 1588319057
-
dba PeaceHealth Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
-
- Radiology Clinic/Center
- Kelso, WA
- NPI 1831800184
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1982326815
-
dba PeaceHealth Hospice
- Community Based Hospice Care Agency
- Ketchikan, AK
- NPI 1386362580
-
dba PeaceHealth Riverbend Outpatient Pharmacy
- Community/Retail Pharmacy
- Springfield, OR
- NPI 1972281988
Locations
821 Washington Way
Longview, WA 98632
Phone (360) 696-5103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- Peacehealth
- Peacehealth (St John Medical Center - Occupational Health)
- Peacehealth (PeaceHealth St John Medical Center Retail Pharmacy)
- Peacehealth (St. John Medical Center)
- Peacehealth (St. John Medical Center)
- Peacehealth (St. John Medical Center - PeaceHealth Medical Group)
- Peacehealth (St John Medical Center - PeaceHealth Medical Group)
- Peacehealth (PeaceHealth St John Medical Center Pharmacy)
- Peacehealth (St John Medical Center - Internal Medicine)
- Peacehealth (St John Medical Center - PeaceHealth Medical Group Ocean Beach)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.