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

Peacehealth

Organization Adult Medicine Physician · NPI 1871810945

Peacehealth is an Adult Medicine Physician in Longview, Washington. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
3

Practice location Address checks out

812 Ocean Beach Hwy Ste 200
Longview, WA 98632-4082
Phone: (360) 636-6900
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Adult Medicine Physician Taxonomy 207QA0505X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1871810945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Haywood — Network Cfo · (360) 414-2000
Other names St John Medical Center - Peacehealth Medical Group Ocean Beach
NPI enumeratedApril 28, 2010
Last updated in NPPESSeptember 13, 2013
Mailing address1115 Se 164th Ave, Dept. 364, Vancouver, WA 98683-9324

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