Gretchen Marie Potschka in Longview - Pediatrics

Gretchen Marie Potschka - NPI 1811994718

Gretchen Marie Potschka is a Pediatrics in Longview, Washington. Gretchen Marie Potschka practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Gretchen Marie Potschka is 1811994718. The last update date is 2013-01-10.

Gretchen Marie Potschka's current location address is 1615 Delaware St, Longview, Washington. You can contact this provider via phone number 3604142385 and fax number 3604142386. The mailing address for Gretchen Marie Potschka is 1615 Delaware St, Longview, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Gretchen Marie Potschka
Address 1615 Delaware St, Longview, Washington
Phone Number 3604142385
Fax Number 3604142386
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1811994718
Provider Enumeration Date 2005-07-07
Last Updated Date 2013-01-10

Provider Mailing Address Detail

Address 1615 Delaware St
City Longview
State Washington (WA)
Post Code 9863223100
Phone Number 3604142385
Fax Number 3604142386

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD00042178
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00019811 RR MEDICARE
171088 WA LABOR & IND.
8359192 WA --
226976 OR --
8932202 WA CRIME VICTIMS

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FAQs about Gretchen Marie Potschka

What is the unique identifier code issued to Gretchen Marie Potschka by the Centers for Medicare & Medicaid Services?

The Gretchen Marie Potschka has been assigned the NPI (National Provider Identifier) 1811994718. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Gretchen Marie Potschka's facilities are geographically located?

The facilities of Gretchen Marie Potschka are physically situated at the following location: 1615 Delaware St, Longview, WA, 9863223100.

What is the Gretchen Marie Potschka's specialty and taxonomy code?

The Gretchen Marie Potschka's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1811994718 to Gretchen Marie Potschka?

The Centers for Medicare & Medicaid Services assigned the 1811994718 to Gretchen Marie Potschka on 2005-07-07.

As of what date were the details related to Gretchen Marie Potschka most recently updated or revised?

The information pertaining to Gretchen Marie Potschka, including its address, specialty, and other relevant details, was last updated or revised on 2013-01-10.

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