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

Peacehealth

Organization Registered Dietitian · NPI 1720056187

Peacehealth is a Registered Dietitian in Longview, Washington. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
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Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 414-2000
Fax: (360) 414-2054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Registered Dietitian Taxonomy 133V00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X
Anesthesiology Physician Taxonomy 207L00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Gastroenterology Physician Taxonomy 207RG0100X
Hematology & Oncology Physician Taxonomy 207RH0003X
Nephrology Physician Taxonomy 207RN0300X
Rheumatology Physician Taxonomy 207RR0500X
Medical Oncology Physician Taxonomy 207RX0202X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1720056187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Haywood — Regional Vp/Cfo · (360) 414-5797
Other names St. John Medical Center - Peacehealth Medical Group
NPI enumeratedMarch 10, 2006
Last updated in NPPESJuly 29, 2011
Mailing addressPo Box 3002, Longview, WA 98632-0302

Other providers in Longview