| Wooten Primary Care, Llc | |
|
123 S Market Blvd Chehalis WA 98532-3037 | |
| (360) 748-9700 | |
| (360) 748-9725 |
| Full Name | Wooten Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 123 S Market Blvd, Chehalis, Washington |
| Authorized Official Name and Position | Janna Wooten (MEMBER) |
| Authorized Official Contact | 3607489700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wooten Primary Care, Llc 123 S Market Blvd Po Box 1245 Chehalis WA 98532-3037 Ph: (360) 748-9700 | Wooten Primary Care, Llc 123 S Market Blvd Chehalis WA 98532-3037 Ph: (360) 748-9700 |
| NPI Number | 1235186891 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235186891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
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