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

Sereyrath Lim, NP

Individual provider Family Nurse Practitioner · NPI 1407618754

Sereyrath Lim, NP is a Nurse Practitioner in Longview, Washington. Qualified in 2023, 3 years ago. Practices with Cowlitz Family Health Center, a 21-clinician group. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1057 12th Ave
Longview, WA 98632-2509
Phone: (360) 261-7848
Fax: (360) 414-1342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP61521919 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP61521919 (WA)

Record details

NPI number1407618754
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 23, 2024
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address2425 31st Ave Sw Unit B, Puyallup, WA 98373-4012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cowlitz Family Health Center — 21 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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