| Pt Northwest Of Longview Inc | |
|
20 Cowlitz, Castle Rock, WA 98611 | |
| (360) 274-4550 | |
| (360) 274-4548 |
| Full Name | Pt Northwest Of Longview Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 20 Cowlitz, Castle Rock, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134284060 | NPI | - | NPPES |
| DC3748 | Other | WA | MEDICARE RAILROAD |
| 7072184 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pt Northwest Of Longview Inc 1560 3rd Ave, Longview, WA 98632-3229 Ph: (360) 423-9535 | Pt Northwest Of Longview Inc 20 Cowlitz, Castle Rock, WA 98611 Ph: (360) 274-4550 |
Ms. Lacey Wise, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1316 Mt Saint Helens Way Se, Suite B, Castle Rock, WA 98611 Phone: 360-557-8020 | |
Allison Lunday, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 223 Studebaker Spur 1, Castle Rock, WA 98611 Phone: 253-820-1322 |