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

Peacehealth

Organization Urology Physician · NPI 1255977591

Peacehealth is an Urology Physician in Longview, Washington. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

625 9th Ave Ste 120
Longview, WA 98632-2465
Phone: (360) 636-8950
Fax: (360) 636-8951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1255977591
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPeacehealth
Authorized official Michael Metcalf — Chief Executive Phmg · (360) 729-1743
Other names Peacehealth Longview Urology; Peacehealth Longview Urology
NPI enumeratedNovember 21, 2019
Last updated in NPPESNovember 27, 2019
Mailing address1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004

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