Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marys Corner Medical Clinic Inc Ps

Organization Family Medicine Physician · NPI 1104016138

Marys Corner Medical Clinic Inc Ps is a Family Medicine Physician in Chehalis, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4254 Jackson Hwy
Chehalis, WA 98532
Phone: (360) 262-3966
Fax: (360) 262-3967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00039760 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10004588 (WA)

Record details

NPI number1104016138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Inglis — Office Manager · (360) 262-3966
NPI enumeratedJuly 26, 2007
Last updated in NPPESApril 26, 2012
Mailing address4254 Jackson Highway, Chehalis, WA 98532

Other providers in Chehalis