NPI 1003134834
Peacehealth
Practice location
- Address
- 139 1st Ave SW, Castle Rock, WA 98611
- Phone
- (360) 274-2353
- Fax
- (360) 274-2354
- Mailing address
- PO Box 160, Castle Rock, WA 98611-0160
Authorised official
- Name
- Tom Haywood
- Title
- Regional Cfo
- Phone
- (360) 414-2000
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1003134834
- Entity type
- Organization
- NPI issued
- 4 May 2010
- Record last updated
- 29 Jul 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.