Phs Llc

Specialty details in registry · Camas, WA

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At a glance

3400 Se 196Th Ave Ste 100, Camas, WA 98607-8862

NPPES record updated Jan 27, 2014. Public records can lag behind changes at a practice.

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Practice location

3400 Se 196Th Ave Ste 100
Camas, WA 98607-8862

Professional details: NPI, taxonomy & registry record

NPI1730502766

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 3336L0003X
Enumeration date: Jan 27, 2014
Record updated: Jan 27, 2014

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

3336L0003X · Primary

License reported: PHAR.CF.60446881 WA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3400 Se 196Th Ave Ste 100
Camas, WA 98607-8862

Phone: (360) 244-5984

Mailing address

PO BOX B

ILWACO, WA 986240167

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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