OrganizationActive
Peacehealth
NPI 1508958331 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Longview, WA
Provider details
- NPI number
- 1508958331
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Thomas Haywood, Network Cfo
- License
- H-026 (WA)
Mailing address
1115 Se 164th Ave
Vancouver, WA 98683-9324
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2013-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.